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Fortieth Edition. 

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mflTMlOS'l&T MIS ©2? UTSWXS 131 WySffMiBT, 



By M. LJVRMONT, Physician and Surgeon, 

new torkJ {(Formerly from Paris and London.) 

Nth) goife: 



M. Ricord, of Paris, Acton, of London, and the Author, ia New York. 
have for many years treated annnally a larger number of patients for 
Genito-urinary diseases, than has fallen to the lot of any other surgeons. 
The same treatment has been pursued by all ; and the frequent recom- 
mendation of patients by each to the other, is the best guarantee of the 
public confidence in our mode of treatment. The Author is happy to 
state that this treatment is now pursued in all the best European venereal 

Professional Notice. 

The Author and his associate, Dr. E. Banister, devote their time to the 
cure of all the diseases referred to in this work, at 647 Broadway (up 
stairs), three blocks above the St. Nicholas Hotel, N. Y. City, We have 
a number of offices specially appropriated,' so that patients never meet' 
each other. For our hoars of attendance at the offices, see the New York 
daily newspapers. Persons in need of medical aid, can apply to us with 
the most undoubted assurance of a cure, in the most speedy and convenient 
manner, with perfect privacy. 

The afflicted, therefore, who do not wish to submit to the dangerous and 
injurious treatment of mercury, copaiba, injections, cauterization, quack 
specifics, antidotes, etc., "will read this book or apply to us for a speedy 
and radical cure. 

Patients at a distance, can be cured as secretly and as perfectly through 
the mail, and express, as by a personal visit — unless surgical operations are 
required — by giving a full statement of all their symptoms, appearance of 
the disease, and length of time they have suffered. 

N. B. — Our time is so fully occupied for those who send or pay the usual 
fee upon application, that we cannot respond or notice those who do not 
pay or remit, by letter or otherwise, the usual consultation fee of five 
dollars at the time of seeking our advice. 

Particular Notice. 

In consequence of recent complaints of patients who have lost money 
letters, and other letters not having been answered by us, I found, on 
inquiry, that there is an itinerant Doctor traveling about the country, and 
in this city, by the name of Larmont — therefore I wish all letters to bo 
directed to my Associate (who has been with me for several years), Dr. E. 
Banister, Box 844, Post Office, New York City, as formerly. 

M. IiARMOtVT, Physician and Surgeon. 

N. B. — Patients are respectfully informed that our offices have been 
removed from 8'2 Mercer Street, corner of Spring, to 647 Broadway, up 
stairs (La Farge House block) , one block above the Metropolitan, and 
three blocks above the St. Nicholas Hotels. 

Entered according to Act of Congress, in the year 1859, by M. Larmont 
and E. Banister, in the Clerk's Office of the District Court of the United 
States, for the Southern District of New York. 

(formation xif jpate t. 


A Front View of the contents of the Abdomen and Pelvij, 
*nd of the Organs of Generation in the Halt. 

A, A, The kidneys. 

B, B, The renal capsules. 

C, C, C, C, The renal arteries and veins. 

D, The great artery, or aorta. 

E, The vena cava. 

F, The spermatic artery. 

G, G, The spermatic veins. 
H, II, The ureters. 

I, I, The spermatic corda. 

K, The rectum. 

L, The bladder. 

M, The penis. 

N, The glans penis 

0, The meatus. 

P, The testicle. 

Q, The vas deferens 

R, The scrotum. 

The rapid sale of the previous editions of the Medical Ad- 
viser and Marriage Guide, has induced the Author to 
revise and enlarge the work, to render it still more attrac- 
tive and useful to an intelligent and appreciative public. 

In the department of illustrations, many new and beauti- 
ful additions have been made, and the entire rearrangement 
of the plates and figures to give the most convenient and 
comprehensive study of them by the reader. A larger num- 
ber of pages have been added than a superficial inspection 
would seem to indicate, from the fact that vacant pages, 
and parts of pages, have been filled with interesting cases 
and other important information. 

It is not generally known, that irritation or chronic in- 
flammation of tb* mucous surfaces of the bladder and kidneys, 
give rise to severe, painful, and often dangerous and even 
fatal diseases. 

Enlargement and inflammation of the prostate gland, also, 
when neglected, result in protracted and distressing affec- 
tions of the genito-urinary apparatus. 

These affections of the kidneys, bladder, and prostate 
gland, give rise to many of the alarming symptoms of 
stone in the bladder (Gravel), but unlike that melancholy 
condition, are not only perfectly, but speedily curable by 

During the past few years, the large increase in the appli- 
cations for treatment to us of such patients, has enabled us 
to profit by extensive observation, as is proved by the large 
number of such patients discharged cured annually. 

We wish, in this brief space, to call the attention of the 
afflicted to the condition of their urine. Healthy urine is a 
clear, pale amber colored fluid. If, on collecting the first 
urine voided in the morning in a clean bottle, there is a 
sediment of white or of a pinkish color, or a cloudy appear- 
ance, on settling and becoming cool, it is an evidence of a 
diseased condition of the genito-urinary system, of a more or 
less grave character, and should excite prompt attention to 
the matter by the patient. 

In the true diagnosis of these diseases, we are greatly in- 
debted to the microscopic and chemical analysis, without 
which aid it is often impossible to form an accurate judg- 


In giving the following pages to the Public, the great 
aim and object of the Author has been to give a plain, 
practical treatise, adapted to all circles of society. 

All theories, not well sustained by facts and experi- 
ence, have been discarded. 

The most absurd, ridiculous, and mischievous specu- 
lations and erroneous assumptions have been published, 
largely copied and transformed (or rather deformed) 
from musty antediluvian medical books. It would be 
better for the public to .experience a second deluge, 
that would sweep away all such trash. It is infinitely 
more difficult to forget or discard false impressions or 
erroneous views, than to learn those facts which are 
correct and of real instruction. 

I am led to make these remarks from hearing from 
all classes, more or less frequently, expressions of wrong 
views on medical subjects ; this must be attributed to 
the pernicious teachings of foolish books and senseless 

It shall be then, the especial object of this work to 

correct such errors, and in so doing our readers will 
readily see the more plausible and reasonable teachings 
herein incorporated. 

In the first part of this edition great care and pains 
has been taken to describe the more common derange- 
ments of the Male Female and Generative Systems, 
their anatomy, physiology, and pathological tendencies 
to diseas6 ; and those diseases consequent upon sexual 

Of Masturbation (Self-Abuse), Emissions, Impotency, 
etc., etc., the second part of the present edition of this 
work will fully treat. 

Menstruation, and the derangements of the uterine 
functions have received as ample" attention as the char- 
acter of the work will permit. We have conclusively 
disproved the falacies and whims which books upon 
kindred subjects have inculcated : for instance, those 
directions to prevent conception, which are popularly 
believed, are not only mischievous and delusive, but a 
case came under our notice lately, in which the conse- 
quences were nearly fatal : This was in a married lady 
with a deformed pelvis, which precluded the possibility 
of giving birth to living offspring ; yet, deeming her- 
self safe, she followed the directions of a widely dissem- 
inated volume, to prevent the mishap, but it had the 
opposite effect, the accouchment being effected by 
.nutilating the child, and almost immolating the 
mother. The motive, no doubt, was to gratify the 
desire that families have to control the number of their 

We have given our experience, and advice founded 
upon that experience, upon the subject. of Conception, 

■ianl the surest means ot accomplishing no acwmiue an 

object to thousands of heirless parents. 

Sterility, so commonly caused by slight funct.iunal 
derangements in females, is as readily under the control 
of the competent surgeon as any other functional de- 
rangements of other organs, viz., indigestion, torpidity 
Df the liver, bowels, or kidneys, yet from want of analo- 
gous reasoning upon causes and effects of uterine affec- 
tions, medical men often get befogged, and juinp at 
ilse and injurious conclusions. 

Upon the subjects of Medicines, Instruments, cr In- 
structions to produce Abortion, I cannot too severely 
aensure, deprecate and denounce all persons engagsd 
in so abominable and damnable a traffic. Its tenden- 
cies are to sap the foundations of all moral and religious 

society to ruin the health of females therein engaged 

— to foster crime — to cloak the iniquities of the wicked 
— to shield the villainous seducer of the innocent and 
virtuous, from just odium and public retribution, of the 
foulest crimes, manslaughter, and even murder ! 

It is truly lamentable that pious, virtuous, honest, 
honorable families are destitute of the appreciation of 
the real magnitude of this monster evil, that the disin- 
clination to have children, induces them to apply to 
their own family physician to prevail on him to procure 

Having as many as fifty patients constantly under 
mv charge, affected with Venereal and other infectious 
diseases, the majority of which having been under 
treatment with other physicians, I have devoted a 
sufficient space in this work, to guide those who are 
urifortuuate enough to be afflicted with such horrible 

diseases, to a rapid, and permanent cure. The ignor- 
ance in the medical profession, of the proper treatment, 
the awful consequences resulting from the treatment 
of Quacks, and the various humbug cure-all medicines 
so largely advertised, are truly beyond the comprehen- 
sion of those who have not the opportunities of knowing 
its vast extent. As this work will save thousands from 
such a condition, I cannot but feel that I have fulfilled 
my duties towards my fellow-beings. My practice is 
constantly revealing to me the great extent of constitu- 
tional disease, arising from neglect or maltreatment of 
Syphilis. Any physician who will investigate this sub- 
ject, will be astonished at the mass of human suffering 
which he can trace to a Venereal origin, although its 
primary symptoms may have bijen apparently eradi- 
cated from the system for many years. Some are in- 
discreet enough to allow delicacy or shame to prevent 
them from applying to the proper physician until the 
poison has acquired such virulence as to justly alarm 
them-; they then frequently apply to some unskillful 
practitioner, who may temporarily arrest the external 
symptoms and discharge them c ured ; matters will thus 
go on until tne malady becomes constitutional, when 
the patients are at last compelled to place themselves 
under the treatment of those who, at an earlier period, 
could have preserved their systems untainted, and their 
bodies uninjured by the ravages of this most insidious 
of diseases. 

As it is actually necessary, for a thorough under- 
standing of the subject herein treated, I have given, as 
briefly as possible, a description of the organs of genera- 
tion, and of their physiology, that any one may clearly 

nnderstand their importance ; furthermore, I have stated 
the causes, varieties, symptoms, peculiarities, and most 
certain mode of cure. 

Every person before entering the Marriage State, 
should ask themselves if they are in such a state of 
health that the Marriage-bed, will not become a bed of 
loathsome disease. I always have some such patients 
in process of cure, and whose offspring seldom live, but 
if they do, are the most pitiable evidences of their 
parents' condition. How degraded and lost to all the 
finer feelings, which alone can ennoble us, must be that 
person who will allow, even the remotest doubt to 
remain unmoved, that they are tainted by disease, or so 
debilitated by early or guilty excesses, that their pro- 
geny will be doomed, but yet dares to offer such a pol-' 
luted and shattered frame at the pure shrine of love. 
Such are often the causes of domestic unhappiness, and 
the horrible diseases which we see children affected 
with, from generation to generation. Ponder well, 
then, you who have ever been afflicted with a disease 
which is sure to become constitutional, if not totally 
eradicated at the time of infection. Think what your 
neglect will painfully recall in your own family. That, 
not a single individual need suffer, or have any excuse 
for their situation, I offjr them, The Medical Adviser 
ind Marriage Gcide, at a merely nominal price-- line 

\mtx\$xaxi oi ibt $Mm, 

Plate 1— Figure 1.— A Front View of the Contents op 
tue Abdomen and Pelvis, and of the Organs of 
Generation in the Male.— (See minute description 
opposite the Plate.) 

Plate 2— Figure 2. — A full and accurate View of the 
Left Section of the Female Pelvis, in Health. — 
(See full description opposite the Plate.) 

Plate 3— Figure 3.— Anatomt and Front View of the 
Bladder, Penis, etc. 

A, The Bladder.— B, The' Neck of the Bladder.— CC, The Ureters.— DD, 
The Vasa-Deferentia.— EE, Seminal Vesicles— F, Prostate Gland.— G, 
Urethra.— H, Erector Muscles of the Penis.— II, Cavernous Bodies of the 
Penis.— KK, Arteries of the Penis.— L, Great Vein of Penis.— MM, Nerves 
of the Penis.— N, Orifice of the Urethra.— 0, The Glans-Penis.— P The 
Prepuce, or Foreskin. 

Pl a t e 4 — Figure 4.— Anatomy of the Bladder, Prostate 
Gland, Appendages, etc. 

A, The Bladder.— B, Neck of the Bladder.— CC, Ureters.— DD, Vasa- 

Plate 4— Figure 5.— A Sectional View of the Seminal 
Vessels and Prostate Gland. 

DD, Vasa-Deferentia. — EE, Seminal Vesicles. — FF, Prostate Gland. — 
G, Urethra. 

Plate 5 — Figure 6. — Penis, Prostate Gland, and Bladder 
Laid Open. 

Letter A, Showing the Mouths of the Seminal Ducts opening into the 
Urethra.— Letter B, Inflamed Points of the Mucous Surface from Gonor- 
rhoea. — Letter C, Chancre. 


Plate 6 — Figure 7. — Represents the Vagina laid open by 
a Longitudinal, Section, with the Womb and its 
Appendages in their relative position. 

Plate 6 — Figure 8. — Diagram op a Section of the Unim- 


Plate 6 — Figure 9. — Indusium of the Ovary, derived from 
the Peritoneum. 

Plate 6 — Figure 10. — The Unimpregnated Ovum surrounded 
by its Proligerous Disk, magnified about Fifteen 

Plate 6— Figure 11. — A Section of an Unimpregnated Ovum, 
representing this thick external Envelopes, con- 

Germinal Vesicle. 
Plate 6 — Figure 12. — Represents within a square area, 
the Unimpregnated Human Germinal Vesicle, mag- 
nified Forty-five Diameters. 

Plate 6 — Figure 13. — Is a Corpus Luteum, taken from a 

Female who destroyed herself by drowning, eight 

days after Impregnation. 
Plate C — Figure 14. — Represents the Interior of the 

Womb, with the Germ l\ progress of Formation. 
Plate 7 — Figure 15. — An Ovum about eight weeks old, 

showing the Placenta when first formed. 
Plate 7 — Figure 16. — An Ovum five months of age, 

within the Womb. — (See full description opposite the 

Plate 8 — Figure 17. — Displays a Longitudinal Section. 

of the Uterus. 

1, Base of the Womb. — 2, Mouth of the Womb. — 3 3, Fallopian Tubes 
—4, Cavity of the Womb. 


Plait 8 — Figure 18. — Anatomy of the Female Perinium 

1, 2-6, Sphincter of the Vagina.— 3, 4, Erector Muscle of the Clitoris.— 
6-11 , Transverse Muscle of the Perinium. — 7, Elevator Muscle of the 
Anus. — 8, Gluteus Muscle. — 9, Sphincter of the Anus. — 10, Junction of 
the Sphincter of the Anus, and the Sphincter of the Vagina — .12, Adductor 
Muscle. — 13, The Gracilis Muscle. 

Plate 9 — Figure 19. — Represents the Fcetus at Maturity, 
as seen folded up and in its natural position, in 
the Womb. 

Plate 10 — Figure 20. — Inflammatory stage of Gonorrhcea 


Plate 10 — Figure 21. — Gonorrhcea with Chordee. 
" " 22. — Gonorrheal Ophthalmia. 

" " 23. — Gonorkhceal Dischakge Magnified. 

Plate 11— Figure 24. — External Genital Organs of thh 
Female, representing Primary Syphilis and Gonor- 
rhcea at the same time. 
Plate 12 — Figure 25. — Strictures in the Urethra. 
" 13 — " 26. — Stricture in the Urethra, anh 
■Enlargement of the Prostate Gland. 
Plate 14 — Figure 27. — Swelled Testicle from Urethri- 
PlaU 14 — Figure 28. — Hydrocele, or Dropsy of the 

A, Penis drawn almost into the Body. — B, Scrotum distended to its 
utmost extent hy the Water. — C, The Testicle. — D, The Vas-l)eferens. 

Plate 14 — Figure 29. — Excrescences — -Vegetations, or 

Warts on the Penis. 
Plate 15 — Figure 30. — Phymosis. 

" " 31. — Deep-seated Syphilitic Ulcers on 

the Scrotum. 
Plate 15— Figure 32. — Clap, Chancres (Syphilis), axp. 

Para-Phymosis ix same patient. 


Plate 15 — Figure 33. — Chancres (Pox) causing Phtmosis. 
Plate 16 — Figure 34. — Simple Chancre (Pox) six hours 

after Inoculation. 
Plate 16 — Figure 35. — Simple Chancre (Pox) thirty nouns 

after Inoculation. 
Plait 16 — Figure 36. — Slmple Chancre (Pox) two days 


Plate 16 — Figure 37. — Simple Chancre (Pox) three days 


Plate 16— Figure 38. — Simple Chancre (Pox) four days 


Plate 16 — Figure 39. — Simple Chancre (Pox) ftve days 

AND SIX hours after Inocdlation. 
Plate 16 — Figure 40. — SniPLE Chancre (Pox) six days and 


Plate 16 — Figure 41. — Simple Chancre (Pox) ten days and 


Plate 17 — Figure 42. — Chancres (Pox) in theTJrethra and 

Plate 17 — Figure 43.— Syphilitic Ulcers on the Tonoue 


Plate 17 — Figure 44. — Syphilitic Discharge magnified 
'•' 18 — " 45. — Destruction of the Eye by Syphilis. 
" 18 — " 46. — Constitutional Syphilitical affec- 
tion of the Eye. 

Plate IS— Figure 47.— •Syphilitic Hydro-Carcocele. 
" 19 — " 48. — Syphilitic Pustules previous to the 
nose being destroyed. 
Plate 19 — Figure 49. — Nodes on the Forehead. 
" 19 — " 50. — Destruction of the Nose by Syph 


Plate 19 — Figure 51. — Caries in the Teeth from Syphilis. 
" 20— " 52. — Spermatorrhceal Ophthalmia in con 
sequence of masturbation. 

Plate 2d— Figure 53. — Horrible appearance of the Fea- 
tures caused by Self-Abuse. 

Plate 21 — Figure 54. — Varicocele produced by Self-Polu- 


Plate 21 — Figure 55. — Total relaxation of both Testi- 
cles from Onanism and Seminal Debility. 

Plate 22 — Figure 56. — Microscopial View of Semen and 

Plate 22 — Figure 57.— The structure of the Testicle in 
jected with Mercury, and its several parts un- 

1, 2 2, Tubuli Seminiferi. — 3, Vasa-Recta, forming the Rete-Testis. — 4, 
Corpus-Highmorianum. — 5, Vasa-Efferentia, forming the Coni-Vasculosi. — 
6, A single tube formed by the junction of the Vasa-Efferentia. This tube 
then becomes convoluted upon itself to form the Epididymis. — 7, 8, Be- 
ginning of the J^as-Deferens. — 9, The Vas-Deferens becoming a straight, 
.selated tube in its ascent to the Abdominal Ring. — 10, Spermatic Artery. 
— 11, Spermatic Cord, dissected and spread out.^ 

Plate 22— Figures 58, 59, 60, 61, 62, 63, 64, and 65.— Sper- 
matozoa and Granula Seminis. 

Plate 22. — Figures 66, 67, and 68. — Reproduction Cell, con- 
taining three Granula Seminis. 

Plate 23 — Figure 69. — Spermatozoa from the Human Tes- 

Plate 22 — Figure 70.— Fasciculus of Human Spermatozoa 
magnified about a thousand times. 

Plate 23 — Figure 71. — Represents the Digestive Tube 
prom the Esophagus to the Anus. 

Plate 24 — Figure 72. — The Testis in health. 


Plate 24.— Figure 73. — The Testis wasted AWiY from 

Plate 24 — Figure 74. — The Testis retained in the Groin, 


Plate 25— Figure 75. — Hereditary Venereal Disease in 

the Offspring. 
Plate 25 — Figure 76. — Syphilitic Eruption after Suppcra 

Plate 25 — Figure 77. — Deep-seated Veneral Ulcers in 

the Neck. 
Plate 25 — Figure 78. — Caries in the Cheek-Bone. 
" 20 — " 79. — Syphilitic Ulcers on the Leg. 
" 2C — " 80. — Syphilitic affection of the Heart. 
" 26 — " 81. — Sloughing Chancre (Pox). 
" 27 — ■ " 82. — Primary Chancres (Syphilis) on 
Plate 27 — Figure 83. — Pustules (Syphilitic) on Penis. 
" 27 — " 84. — Syphilitic Gangrene (Mortifica- 
tion) of Penis. 
Plate 27 — Figure 85. — Indurated Chancres on the Penis, 

causing Buboes in the Groins. 
Plate 28 — Figure 86. — Syphilitic Phagedance (Eating) 

Ulcer on the Leg. 
Plate 28 — Figure 87. — Primary Syphilisis from Inocula- 
Plate 28— Figure 88.— Tubercular Syphilisis on the Body. 



Avoid all quack or advertised remedies for any disease, espe- 
cially venereal, and all of the instruments advertised to cure 
Seminal Emissions, as they are injurious quack humbugs. 

Within the past year or two, there have arisen a number of 
mushroom doctors, pretending to be from Hospitals in the dif- 
ferent cities of Europe, or students of eminent men, such as 
Ricord, Acton, etc., etc., using their medicines, medicated 
bougies, rectum suppositories, etc., etc., whose injured and 
uncured patients we are curing every week. Another caution, 
to save yourselves from imposition in our own building, be 
certain you see our No., 647 Broadway, and the silver plates 
on each side of the door, stating the " Physician's Consulting 
Rooms are on the second floor," where, upon ascending the 
stairs, as directed, you will see our names upon silver door 
plate?, on the doors of the offices. 



^lanafiim at |Iaie 2. 

A full and accurate View, of the Left Section of the 
Female Pelvis, in health. 

A, The fourth lumbar vertebra. 

B, The rectum. 

C, The left iliac fossa. 

D, The rectus abdominus muscle, arising from E, The 
symphysis pubis. 

F, The mons veneris. G, The clitoris. 

H, The left nympha. I, The labia externum. 

K, The fundus uteni. 

L, L, The ovaries brought upwards. 

M, The posterior surface of the right broad ligament. 

N, The right Fallopian tube turned downwards. 

0, 0, The fimbriated extremities of the tubes. 

P, The right round ligament. 

The dotted line crosses the fundus of the bladder 

Q, The os uteri. 

K, The vagina. 

8, The point of the coxcyx. 

T, The sphincter ani. 

V, The sphincter of the bladder. 

W, The urethra — the dotted line crosses the perineum. 

X, The maetus urinarius. 

Jntobutfuut to % 3ffij| dBbitbn. 

In no class of diseases are the functional de- 
rangements of the stomach, bowels, kidneys, 
and bladder, so troublesome and annoying to 
both patients and physicaus, as in seminal affec- 
tons, and probably from sympathy extending 
through the entire nervous system. 

It is a frequent occurrence, to have calls for 
relief, of frequent and painful micturation, or 
irritable bladder, the sufferer not having suspect- 
ed that aught else ailed him ; but this is one of 
the commonly occurring complications of disease 
previously existing in the genitourinary organs, 
either from spermatorrhoea, gleet, or stricture, 
having caused inflammation of the mucous mem- 
brane, which is so liable to extend to adjacent 
parts, for it is the same continuous tissue which 
lines the whole system of these emunctory or- 

Excesses in eating or drinking, or of excessive 
venery, in these patients, excites inflammatory 
action even in these and more distant organs. 

Such persons, are those who often contract leu- 
corrhcea from their wives, and simply from the 
existing predisposition to inflammation of the 
uerthral mucous membrane. When gonorrhoea 
docs not promptly yield to treatment, we know 
that there is something -in the back-ground that 
will soon loom up in total disregard of the laws 
of perspective ; delaying and tediously protract- 
ing the cure, unless two birds are killed at one- 





Not only have the ancient and modern writers 
admitted the importance of the sexual organs being 
preserved in a perfect state of health and vigor, 
but every person possessed with a mind capable of 
a moment's reflection will see its importance on 
mankind at the present time, and particularly for 
the future. The proper performance of the special 
functions with which they are charged has ever been 
considered essentially necessary to the health and 
well-being of the economy, both physical and men- 
tal. They are parts of admirable construction, 
form, and use ; and constitute, a striking evidence 
of the wonderful skill and contrivance in the adapta- 
tion of a special mechanism in the system for the 
performance of one of its most important and essen- 
tial functions: — that of the propagation * of the 
species. Unequaled in the delicacy of their texture, 
and the comparative minuteness of their structure, 
their peculiar fitness for the functions assigned 
them in the economy, when they are in a state of 
perfect integrity, excites the astonishment and ad- 


miration alike of the anatomist and the philosopher. 
Their very complexity, while it renders them liable 
to many disorders, by any of which their utility 
may be impaired, is wisely rendered subservient to 
the important purpose of separating and purifying 
the vivifying fluid. 

Like that complex and delicate piece of machinery 
— a watch — constructed by human skill, the organs 
of generation — a still more complex and more deli- 
cate apparatus, created by the Divine will — are 
liable to derangement and impairment of functions 
and structure from many causes, the nature and 
effects of which will be investigated in the following 
pages. In order, however, that these may be fully 
and clearly understood, it will be advisable to pre- 
face the observations we propose hereafter to offer 
respecting them, by some notice of the anatomical 
arrangement and physiological action of the organs 
which are immediately subservient to the function 
of generation, and also of those which are only 
indirectly connected therewith. 

The parts in man which are immediately con- 
nected with the functions just alluded to, are the 
testicles, by which the semen or seed is secreted, and of 
their appendages, through which the seminal fluid 
is transmitted to the urethra at its origin near the 
neck of the bladder, and of the penis, by means of 
which the act of copulation takes place, and 
through a canal in the under part of which, called 
the urethra, the seed is conveyed from the receptacles 
in which it is retained, to those organs, in the female, 
which are engaged in the functions of generation. 

The urinary organs, both male and female, may 
be regarded as subsidiary to this function, and many 
of the diseases to which they are liable, exert an 


influence on its performance, and not unfrequently 
produce impotence, either temporary or permanent, 
according to the nature, (treatment, if employed,) 
and severity of the disease. 

The Kidneys, which are the organs solely 
engaged in the secretion of the urine, are glandular 
bodies of an oblong shape, seated on either side of 
the spine, upon and below the two last ribs, and 
behind the stomach and intestines ; the right kidney 
is also under the liver, when the man is in an erect 
position, and the left under the spleen : the right 
kiduey is generally the lower and the larger. It is 
said that these organs are considerable in size in 
those persons whose passions are very strong, and 
almost uncontrollable, than they are in those who 
are less addicted to sensuality. In shape the kid- 
ney resembles the kidney-bean ; its structure is 
almost wholly made up of arteries and veins, with 
a few small branches of nerves, derived partly 
from those which are connected with the ribs, and 
thence called intercostal, and partly form a branch 
from the stomach, thus causing a great sympathy 
between those organs. The artery by which the 
kidneys are supplied with blood, which is partly 
used for the support of the organ, and partly 
for the secretion of urine, is derived directly from 
the aorta, or great artery of the body. When it 
enters the kidney, which it does about its middle, 
it divides into branches which again are divided 
\nto smaller ones, and these into smaller still, until 
'they terminate in vessels so exceedingly minute as 
to be invisible to the naked eye. From these the 
veins are formed, and by these the urine is secreted, 
and falls by drops into a pouch which is situated 
about the middle or lower part of the organ, and 


which forms the commencement of the ureter. The 
vein joins the great cava vein, and discharges its 
blood into what is called by anatomists the great 
portal system, by which it is conveyed to the liver, 
after it has been freed in the kidney from a certain 
portion of its serum, and also from certain salts. 
The nerves of the kidneys are few and small. 

The Ureters are long hollow tubes, and consti- 
tute the continuation of the pelvis of the kidneys. 
There is one on "each side of the body, and they 
pass downwards, and slightly inwards to the back 
and lower part of the bladder, which they pierce, 
running between its coats for about an inch, so that 
if the bladder should become exceedingly distended, 
its contents would not be forced back into these 
tubes. They are well supplied with branches of 
arteries, veins and nerves, and their sensibility, in a 
state of disease, is considerable. Their use is to 
convey the urine from the kidney into the bladder. 

The Bladder is situated in that part of the 
body called the pelvis. It is of considerable size, 
and admits, in some instances, of distension to a 
degree that would hardly be credited, were it not 
a well known fact. Such distension is at the risk 
of health and life. This organ in man lies directly 
on the bowels. It is of an oval shape, constitutes 
the great receptacle of the urine. The bladder is 
well supplied with arteries, veins and nerves. It 
has three coats, one of them being composed of 
muscular fibres ; its construction causes the ex- 
pulsion of the urine ; it has on that account been 
called the detrusor urince. 

The neck of the bladder — which in man is longer 
and narrower, and in woman is shorter and wider — 
is surrounded by a sphincter muscle, by which the 



continued running away of the urine is prevented, 
unless from disease the muscle has become useless. 

The process by which the secretion of the urine 
is effected, is one of exceeding interest. The blood 
from which it is to be separated, is conveyed to 
the organ by the venal artery, which divides into 
branches, supplying different parts of the organ ; 
and these again in their turn form arches of com- 
munication with each other, whence spring minute 
arteries or branchlets; these again constituting a 
complete net-work of vessels by a general inoscula- 
tion. They terminate in the commencement of 
veins, and also in uriuiferous tubes, by which latter 
the separation of the urine is effected. The crypts 
or cryptce, small round or oval bodies, which are 
found everywhere in the net-work of vessels just 
spoken of, and which consist almost solely of ves- 
sels, are by some supposed to be the origin of the 
uriniferous tubes. The tubes terminate in a mam- 
miliar process, which projects into a small mem- 
branous bag, called from its shape the infundibu- 
lum or funnel; into this bag the urine passes from 
the uriniferous tubes; it is thence conveyed to the 
larger pouch called the pelvis, and afterwards 
through the ureter into the bladder. The last 
named pouch, like the pelvis of the kidney, the 
ureters, bladder and urethra, is defended from the 
acrimony of the urine by a secretion of mucus 
which lines and sheathes its inner coat. 

In patients laboring under some difficulty from 
stricture in passing urine, ihe mind will often 
greatly increase the secretion of that fluid, and 
multiply the calls to pass it from the body. This 
will be exemplified in the chapter on strictures. 

The Scrotum, is a bag of skin, divided about the 



middle by a septum, so as to form two cavities in 
each of which a testicle is contained. The situa- 
tion of this septum is marked externally by an irre- 
gular line called the raphae. The contraction or 
corrugation of the scrotum, which occurs at times, 
is said by some anatomists to depend on the action 
of a muscle which they call dartos. The testicles or 
organs which secrete the semen, are nourished and 
supplied with blood by long and tcnaceous vessels 
v nich arise from the main arterial trunk, and are 
called spermatic arteries; the blood which they 
thus receive, serves for elimination and secretion of . 
the seed, a process which is effected by the peculiar 
action of the testicles, and which secreting power 
affixes to these organs a value and importance in 
the human frame; not even second to that which 
attaches to those generally regarded by anatomists 
as the most noble, being those, the destruction or 
serious impairment of the functions of which may 
involve loss of life. 

The ancient Romans would not allow any one to 
bear witness against another in a court of justice, 
unless he were perfect in the organs of generation — 
unless the testicles were sound and entire. The 
papal clergy so far carry this rule into effect, that 
no one can be admitted a member of their priest- 
hood against whom a similar defect can with truth 
be alleged. 

Occasionally the testicles, which before birth are 

W,^ W t +1 thG Cavit ? of th e abdomen, do not 

he hellv ^ 'T° tum 0r P urse > b »t r main in 

the belly generally within what is called the 

Tn t hT n abd C om n- a TS^ ^ °^ ?s Gained 

^^t^^XS^.^ ^ft. In 

j <"e exposed to various causes of 


disease, and although not absolutely deprived of the 
power of secreting seed, yet their action is generally 
more or less imperfect, in all probability from the 
compression they undergo, and the constant irrita- 
tion to which they are subject, from the narrowness 
of the canal by which they are, in fact, somewhat 
elongated, and flattened, and smaller than usual. 

The spermatic artery is a long undulating, and 
tortuous vessel. The blood which is thus, conveyed 
to the organs, after having been employed by the 
testicles for the separation and secretion of the 
seed, is re-conveyed in a refuse state by other ves- 
sels, called the spermatic veins, back to the general 
circulatory system in the body. The double set 
of vessels, the veins and arteries, the old anatomists 
call the vasa deferentia, as being the parts prin- 
cipally concerned with the testicles in the prepara- 
tion of the seed. 

The spermatic arteries and veins are remarkable 
for their smallness, which prevents their containing 
more than a small quantity of blood at a time. 
They pass obliquely downwards and outwards, 
behind the peritoneum, and are contained in a com- 
mon protecting sheath with the veins, forming with 
the nerves of the testicles the spermatic chord ; 
they then run over the psoas muscles and ureters, 
and pass out through the rings of the abdomen and 
abdominal canal, over the os pubis, and into the 
scrotum, and supplies the testes, which also receives 
blood from the artery which supplies the vas 
deferens. The latter named organ, which is invested 
in its own sheath, called tunica vaginalis, is com- 
posed of the body of the testicle, and the epididy- 
mis, the latter being situated at the upper part. 
It consists of an infinite number of small tubes 


(seminiferous) which terminate in the epididymis. 
These tubes are convoluted on each other, and 
closely connected together, but which, unraveled 
and injected with quicksilver, will extend to a con- 
siderable length. 

The spermatic veins arise in three sets from the 
testicle, two of which soon unite. .They are exceed- 
ingly tortuous in their course, and fully anastomose 
with each. other, while in the lower part of the 
cord, but these inter-communications cease after 
they have entered the abdominal canal, on leaving 
which, while crossing the psoas muscle, they unite 
together and form one vein, which, on the right 
side, terminates in the lower vena cava, and on the 
left in the vein which arises from the kidney on 
that side. The larger veins are provided with 
valves. The nerves of the testicles are principally 
derived from those which supply the kidneys. They 
take the same course as the spermatic arteries, and 
constitute with them and the veins the spermatic 
cord. The spermatic nerves are finally distributed 
to the substance of the organ, to the due perform- 
ance of the function of vsjhich they are subsidiary. 

According to the correct laws of nature, each 
male person should have two testicles, one in each 
side of the scrotum, but I have had patients with 
but one, and some with three. iC has been asserted 
that some males have been known to have four or 
five, but I doubt its truth. When a man has but 
one testicle, it is generally larger than is natural ; 
and in those I have seen who had three, one was 
generally smaller than the other two, but, in one 
case, one was larger than either of the other two. 
Such person's passions are generally stronger than 
those who have two ; yet those who had but one, 


differed but little from the major part of those who 
have two. Instances have been known of males 
never having any testicles from birth. 

Where these most important organs are natural 
in size, number and general appearance, they are 
generally nearly two inches iu length, one and a 
half in the transverse direction, and one in thick- 
ness. The tunica vaginalis, or investing membrane ■ 
of the testicles, consists of two layers, the inner 
one directly enveloping the testicle. It secretes 
a kind of serum which serves to lubricate it. 
Between the two layers of the vaginal tunic, is con- 
tained the fluid hydrocele of the scrotum. In some 
cases the cavity formed between the two layers of 
this membrane, remains continuous with the cavity 
of the abdomen. In such instances, there is the 
double danger of the occurrence of what is called 
congenital rupture. (Hernia.) 

Between the testicle and the tunica vaginalis, 
there is another tunic or coat, called the tunica 
albuginea, which is smooth, white, and inelastic. 
It completely covert the testicle, but not the epi- 
didymis. The testicle is also invested and protected 
bf a muscle, called the cremaster. It expands all 
around the tunica vaginalis, which it closely em- 
braces, forming a hollow muscle, within which the 
testicle and its tunics are contained, and which, 
when it is in action, contracts and draws the organ 
it encloses upwards to the abdomen, sustaining and 
compressing it, and forcing out along the vas deferens 
the semen previously" secreted by the organ. The 
cremaster muscle is small and indistinct prior to 
puberty; after that period it is greatly developed 
in persons who are very muscular. 

It has already beeu observed, that the substance 


of the testicle consists of an infinite number of 
small tubes, which are called the tubule seminiferi. 
These are very numerous; the number has been 
calculated at eight hundred and forty, and their 
entire length at one thousand seven hundred and 
fifty feet, the mean length of each duct being 
twenty-five inches. They communicate readily with 
each other, and thus constitute one vast net-work 
of communication. Their size is greater in an 
active adult in the prime of life, while the organs 
are in full vigor. They differ in the testicles of the 
same individual. Two or more tubes unite and 
form a conical lobe, of these, there are between 
four and five hundred in each testicle. 

The Epididymis, which it has been stated is 
seated at the upper and back part of the testicle, 
is the continuation of the numerous seed-bearing 
tubes ; it descends along the back part of the tes- 
ticle, gradually becomes larger in diameter, but less 
convoluted until it begins to ascend, when it obtains 
the name of vas deferens. It is no longer than the 
testicle. It consists priucipaHp^pf seminal canals, 
from which arise in the after part of the right testes, 
the vasa efferentia, or defferent vessels, of which 
tubes there are generally twelve. Their average 
united length, is nearly eight feet, the separate 
length of each, being rather more than seven inches. 

The vas deferens, the excretory duct of the testi- 
cle, forms a constituent part of the spermatic cord, 
and is readily distinguished from the arteries, veins, 
nerves and absorbents, by its cartilaginous feel. It 
terminates in the seminal vesicle, immediately above 
and behind the prostate gland, and with it, forms 
the ejaculatory canal, which perforates the prosta- 
tic part of the urethra. 


The testicles in tjie fetus, are situated in the 
abdomen, immediately below the kidneys. The 
epididymis is about one-third larger relatively to 
the body of the testicle, than it is in the adult. 
Towards the close of the period of puberty, the 
testicles are generally found in the scrotum. The 
non-descent of both testicles is of comparatively 
rare occurrence. One sometimes remains perma- 
nently fixed in the situation which it occupied when 
the child was born, but it occasionally descends 
prior to puberty, most generally between the second 
and the tenth year. An operation for the descent 
of a testicle, is tedious, severe, and sometimes fatal 
The testicles not having descended into the scrotum, 
are not generally deprived of their power of genera- 
tion. In some cases, their integrity is full. It 
occasionally happens that the testicles do not attain 
their full size and power of secreting semen. Such 
instances are not beyond the influence of the proper 
treatment, however, unless they occur in the per- 
sons of idiots. This is treated upon in the subse- 
quent pages of this work. 

Semen will not combine with water at any tem- 
perature, from zero to the boiling point, unless it 
has previously been liquified in nitric or sulphuric 
acids. The amount of seminal fluid emitted during 
the act of sexual congress, varies from one to two 
or three drachms. As stated in the following 
pages of this work, healthy semen contains ani- 

The spermatozoa are imperfect or deficient in 
the semen of mules or hybrid animals. Hence 
depends, in all probability, the impotence or ster- 
ility of those creatures. They are generally utterly 
incapable of generation There are, however, in- 


stances both among the mammalia and birds, of 
individuals belonging to species universally held to 
be distinct, uniting and producing young, which 
again were prolific. The mule can engender with 
the mare, and the she mule can conceive. They 
occur, however, more frequently in warm countries. 
Buffon says, the offspring of the he goat and ewe, 
possess perfect powers of re-production. We might 
expect these animals, with the addition of the 
Chamois, to copulate together easily, because they 
are nearly of the same size, very similar in internal 
structure, and accustomed to artificial domestic life, 
and to the society of each other from birth up- 
wards. There is a similar facility in some birds, 
when such unions are often fruitful, and produce 
prolific offspring. The cock and hen canary birds, 
produce with the hen and cock, siskins and gold- 
finch ; the hen canary produces with the cock 
chaffinch, bullfinch, yellow-hammer, and sparrow. 
The progeny in all these cases is prolific, and 
breeds not only with both the species from which 
they spring, but likewise with each other. The 
common cock, and the hen partridge, as well as the 
cock and Guinea hen, and the pheasant and the 
hen, can produce together. 

Notwithstanding all these, and perhaps other 
examples which might be adduced, the general 
rule is, that hybrids are incompetent to perform 
the act of generation, so as to produce offspring ; 
and it is a wise provision of nature that such should 
be the case, to prevent the world being inhabited 
by monstrous creatures, as would be the case, were 
it the general rule that fecundation followed the 
act of copulation, when practised by the offspring 
of parents of different species. 


The ^esiculjj Semixales, or seminal vesicles, 
are two sacs or oblique bags, behind and below the 
bladder, between it and the rectum, and closely 
connected with it by cellular tissue. That part 
which is applied against the bladder is concave, 
the opposite surface convex. They occupy an 
oblique position, their lower extremities being 
separated only by the different vessels, while their 
upper ends are at a considerable distance from each 
other. The latter are the larger, and their greatest 
breadth is generally three or four times less than 
their length, and their thickness is about one-third 
of their breadth; they are about three fingers, 
breadth in length; the contents pass through vesi- 
cles from one part of the tube to the other. ■ 

The seminal vesicles have two coats ; on the sur- 
face of the inner one small cells exist. It, no 
doubt, is a secreting membrane. The seminal vesi- 
cles are well supplied with arteries, veins, nerves 
and absorbents. Near the prostate cells cease 
to appear ; the vesicle contracts, and forms a kind 
of duct which unites with the vas deferens at a very 
acute angle, the place of union being marked by a 
projecting septum or valve, by which the contents 
of the defferent vessels are directed into the seminal 

The eja dilatory' duct thus formed by the union 
of the vas deferens and seminal vesicle, is from half 
an inch to three quarters long ; it continues to be- 
come narrower as it passes behind the third lobe 
of the prostate, perforates that body, and running 
some way along the under surface of the urethra, 
enters that canal obliquely by a small opening on 
the side of the caput gallinaginis. The junction of 
the two vessels which form this common duct, is 


such, notwithstanding the acuteness of the angle, 
air gently thrown into the vas deferens by a blow ' 
pipe, will inflate the seminal vesicle before it enters 
the urethra, but if thrown with violence, it will im- 
mediately inflate both the urethra and seminal vesi- 
cle. The seminal vesicles are very large in the 
boar, and divided into cells of considerable extent, 
having one common duct. They have no commu- 
nication with the vas deferens in the rat, nor in the 
beaver. In the Guinea pig, they constitute long 
cylindrical tubes, and have not any communication 
with the defferent vessels. These facts do not afford 
conclusive proof, however, that the seed may not 
pass into the vesicles from the defferent vessels in 
the human subject. Notwithstanding the acuteness 
of the angle between the two vessels at their junc- 
tion, from the length of the common tube the wide- 
ness of that part of it formed by the vesicle when 
the two vessels meet, and the very small aperture 
by which it opens into the urethra, the fluid, which 
form the length and contortion of the seminal tubes, 
must pass very slowly from the testicles, will insinu- 
ate itself much more readily through the large com- 
munication with the vesicle, than through the very 
small ones with the urethra, unless it be prevented 
from so doing by the vesicle attempting to throw 
its contents into the urethra at the same time. 
During coition, this attempt is made, and both 
fluids pass at once into the urethra, where the fluid 
secreted by the vesicles being added to that coming 
from the testicles by the defferent vessels, between 
them, a proper quantity is produced to distend suf- 
ficiently the sinus of the urethra, that the muscles 
of ejection may act on its contents with more 


From the frequent excitement of the passions, 
and their gratification being denied in the civilized 
state of human society, fluid must often be secreted 
in the testicles at times, when it cannot be natu- 
rally evacuated ; and although the accumulation of 
it in this organ sometimes produces tension and 
pain, the fullness of the vessels often subsides with- 
out these unpleasant symptoms having taken place. 
Thus, when the vis a tergo no longer drives the 
semen slowly on, the muscular properties of the 
vas deferens may assist in conveying that fluid on 
towards the vesicles, which may receive it until the 
time of ejectment arrives. . They may thus under 
particular circumstances, — more likely to occur iu 
the human species than in brutes, — be employed as 
reservoirs, although their ordinary use may be to 
secrete a fluid which, mixing with the semen during 
coition, may render the act more perfect, and more 
likely, therefore, to produce fecundation. 

An additional reason may be adduced in support 
of the theory, that the seminal vesicles act as reser- 
voirs for the seed in man, in the well known fact, 
that animals possessing a penis, but destitute of 
seminal vesicles, remain for a long time in sexual 
contact, because the fluid necessary for fecundation, 
from the long course it has to take during copula- 
tion, only flows from the urethra drop by drop. 

A distinct communication between the seminal 
vesicles and the deferent, takes place only in man, 
and in those animals which most resemble him in 
form, as in the whole tribe of the simiae. The 
vesicles are altogether absent in the lion, panther, 
cat and dog. 

The prostate gland, in shape and size, resembles 
a chestnut. It is situated below and behind the 


bladder, and *above and in front of the rectum. 
The base inclines upwards and backwards, the 
apex pointing downwards and forwards. A notch 
in the middle of the base, divides the prostate into 
two lateral lobes, immediately above which are the 
lowest parts of the deferent vessels, and seminal 
vesicles, the ducts of which begin to perforate the 
gland in the middle of the notch, and then pass 
into the under part of the urethra, where it is sur- 
rounded by the substance of the gland. The neck 
of the bladder is surrounded by the prostate, as is 
also the commencement of the urethra. When the 
prostate gland becomes enlarged from diseases, it 
passes upward towards the cavity of the bladder, 
immediately 'behind the commencement of the 
urethra, and occasionally bends over that opening, 
acting as a sort of valve to prevent the expulsion 
of the urine. The veins and absorbents of the 
prostate are numerous, and empty themselves into 
those which are connected with the bladder. The 
fluid which it secretes is of a white or cream color; 
it is viscid, and has a slightly salt taste. Its use 
seems to be to lubricate the surface of the urethra, 
along which the semen is to pass. It is thrown 
out in considerable quantity, when the parts are in 
a state fit for immediate copulation; much of it 
then unites with the seminal fluid, and is discharged 
with that fluid when emission takes place. 

The fluid of the prostate, like that of the seminal 
vesicles, is not absolutely necessary for the pur- 
poses of generation in all animals which possess 
testicles ; and although the gland is found in man 
and the tribes of the simiae, the lion, dog, etc., 
it is not present in the bull, the buck, and ram, and 
goat, and most probably in all ruminating animals 



Both the gland aud the seminal vesicles are want- 
ing in birds and amphibious animals, and in fish 
which have testicles, as the ray kind. The prostate 
is said to be double in the elephant, camel, horse 
and some other animals. The semen is never 
evacuated, but where the liquor of the prostate 
gland goes before, and follows after it. It is obvi- 
vious, therefore, how powerfully it must conduce to 
health, to have the secretion of this gland in a 
sound and pure state, as it is so intimately connected 
with the finest functions in the animal economy. 
The seed and secretion of the prostate gland are 
intimately mixed together in the urethra. The 
appearance of the secretion of the prostate, when 
diseased, nearly resembles putrid matter. It is 
plentifully secreted in good health, and seems 
intended by nature to be a vehicle to dilute, nourish, 
and convey the thick and ash-colored concocted 
semen. We have seen in the most healthy men, 
who have lung abstained from venery, a running of 
the humor from this gland, from its bring m a 

relaxed state, during which the semen will be emited 

by the slightest straining, and from ideas of the 
miud, both while awake and asleep. The sooner 
the patient gets this relaxed state restored the 
better. I very often cure patients who had been 
under the charge of physicians, surgeons, and pro- 
fessors of our colleges, and who treated them for a 
venereal or gonorrheal affection, when, in fact, it 
was a diseased prostate and the neighboring parts. 
Errors of this kind produce great injury. Eunuchs 
often eject prostatic liquor when they have an erec- 
tion " geldings often do the same when they strive 
to leap. Good semen cannot be found when these 
narts are diseased ; great caution should, therefore. 


be observed by all those entering the marriage 
state, to be well assured that this humor of the 
prostate is in a sound and healthy state ; various 
evils will arise iu consequence, especially sterility 
and impotence. 

Healthy men continually separate semen from 
the blood, which, being retained and inspissated, 
like the white of an egg or starch, would be most 
immoveable, if it were not for the more thin juice 
of the prostate gland, when in a sound state, which 
mixes with it, and serves to lubricate the urethra, 
almost like an oil. Besides this, as the animalculae 
must stay a long time, perhaps, before it ^arrives in 
the uterus or womb, it seems necessary for it to be 
provided with a suitable aliment ; for, unless nature 
nourished the animalculae when formed, it would 
certainly perish or become extinct : and this nutri- 
tious liquor is that of the prostate gland, which in 
some animals is larger than are the testicles them- 

Cowper's glands, which are situate between the 
bulb of the urethra and the membranous portion, 
are about the size of two small garden peas. They 
open into the canal by two small ducts, and appear 
to secrete a mucus which serves to lubricate the 

The urethra, a membranous canal, extending 
from the neck of the bladder to the end of the penis, 
is divided into the prostatic, membranous, bulbous, 
and pendulous portions. Its coats are the same as 
those of the bladder, of which it is apparently a 
prolongation. The first or prostatic portion, com- 
mencing immediately from the neck of the bladder, 
is surrounded by the prostate. On the under side 
of its internal surface there is a projecting body, 


on the sides of which the common ducts of the 
deferent vessels and seminal vesicles open into the 
canal, as also the ducts of the prostate. 

The portion of the urethra between the prostatic 
and bulbous portions, is called the membranous; and 
the reason that has been alleged for this is, because 
its circumference is less than that of any other part 
of the canal. Its length is generally about an inch 
when the penis is in a state of erecticn ; when 
otherwise, it is somewhat less. It is cylindrical in 
form for about half its length. The urethra soon 
after takes the name bulbous, when it meets with 
the pendulous portion of the bulb, the substance of 
which, however, it does not enter until it reaches 
the arch of the pubis. At this part it is attached 
to the symphysis by muscular fibres. These muscles 
are influential in the expulsion of the semen. The 
urethra at this part enlarges somewhat at its 
under part, forming a kind of sinus. The canal 
afterwards bends forwards, and is surrounded by 
the spongy bodies through its course along the 
under surface of the penis. 

The whole of the internal surface of urethra is 
abundantly supplied with mucus to defend it from 
the acrimony of the urine. It is secreted partly by 
vessels which form small projections on the inner 
surface of the canal, as shown in the engraving, 
and partly by glandular structures situated at the 
bottom and sides of the very numerous lucunae, or 
depressions, dispersed over every part of the internal 
membrane, the openings of which are directed 
towards the termination of the urethra, so that the 
mucus is pressed out of their cavities by the urine 
as it flows from the bladder. 

The urethra is very vascular, and possesses a certain 


degree of elasticity. Its membranes are vei / thin, 
and almost transparent, and without fibres, so that 
in itself it does not possess the power of muscular 
contraction and relaxation. It is, however, pro- 
vided with muscles, the action of which is to assist 
the expulsion of the urine, and also of the semen 
during copulation. The whole length of the penis 
is about twelve inches, though it varies much in 
different individuals. 

The Penis consists of the cavernous bodies, (Cor- 
poro cavernosa,) and of the spongy body, (Corpus 
spongiosum,) the latter terminating in the gland or 
glauds. The cavernous bodies constitute the upper 
part of the penis ; in the upper groove there being 
a large vein, two arteries, nerves and absorbents, 
and in the lower the spongy body surrounding the 
urethra. The convex conical surface of the gland 
is covered by a fine membrane, in color resembling 
the red part of the lips. At its base, or corners, 
there are rows of projecting papillar, which secrete 
a sebaceous matter, having a peculiar small. The 
gland, which possesses exquisite sensibility, is pro- 
tected by the loose cowring called the prepuce 
or foreskin, which is tied to the penis, immediately 
below the orifice of the urethra, by the band called 
fraenum : this limits the motion of the prepuce, and 
tends to keep it in its proper place. 

The spongy substance of the urethra, which 
forms the glows penis, is covered externally with an 
exceeding thin membrane or cuticle, under which 
are placed the very sensible nervous papillae, which 
are the chief seat and cause of pleasure and pain in 
this part. We may now understand why many, in 
the venereal act, have not the glans distended, 
though the whole penis is at the same time turgid, 


because the glans belong entirely to the cavernous 
body of the urethra ; and if that body be paralytic 
or weakened from any preceding or existing cause, 
which we have often known to proceed from un- 
natural practices ; in all those people where the 
spongy body of the urethra is not distended, impo- 
tence will arise, which, if not perfectly understood, 
cannot be cured by any physician ; whereas, in 
healthy men, when these organs are in due tone 
during the orgasmus veneris, or the moment before 
the semen is ejected, the glans and whole cavernous 
body of the urethra are extremely turgid, so as to 
be ready to burst ; but soon after, a kind of con- 
vulsive motion follows, and the semen is discharged 
with a slight loss of strength for a little time 
throughout the whole body, which soon recovers its 
usual vigor. 

During coition, the corpus spongiosum and glans 
penis are rendered turgid by the blood filling their 
vascular structure, and the whole of the urethra is 
lengthened, but made narrower and straighter. 
The seed is gradually deposited in the sinus of the 
bulb, the glans being placed at the other extremity 
of the corpus spongiosum, and endowed with a pecu- 
liar sensibility. When a sufficient quantity of semen 
is collected, it excites the muscles covering the bulb 
to action, and the contraction of the fibres taking 
place, the semen is propelled rapidly along the canal ; 
the blood in the bulb is at the same time pressed 
forwards, but requiring a greater impulse, it forms 
an undulatory wave behind the semen, narrowing 
the urethra, and urging on the semen with in- 
creased force. 

When the passion of desire does not exist, the 
blood is not poured out into the cells of the corpora 


cavernosa, but returns by the veins as usual, and 
the penis remains flaccid ; but when a person is 
under the influence of particular impressions which 
excite the nerves of these parts, the minute arterial 
branches, which before had their orifices closed, 
have their action suddenly increased, and pour 
from their open mouths the blood into these cells, 
so as to distend them, of course overcoming the 
elastic power that, under ordinary circumstances, 
keeps them collapsed. In this way the penis is 
rendered fit to convey the semen to the female 
organs of generation. The erection of the penis is 
greatly aided by the action of certain muscles, 
called the erectors of the penis. 

The great vein of the penis is formed by branches 
from the gland, sides of the corpus spongiosum, 
and common integuments, runs along the back of 
the penis in the upper groove to its root, where it 
divides into two vessels which pass under the arch 
of the pubis, receive other veins from the prostate 
and bladder, and empty themselves into the internal 
iliac. The absorbents of the penis are very numer- 
ous, and terminate in the glands of the groins. A 
few observations here on puberty, and the changes 
it effects in the system, will, I think, be most 

The approach of puberty, induces marked changes 
in the general system of the male and female, as 
well as in the local organs which are subseiwient to 
generation. The growth of bair on the chin, upper 
lip, and sides of the face of the male, and on the 
pubes of male and female; the peculiar alteration 
of the voice, especially in the man, the greater firm- 
ness of muscle, the extraordinary change in the 
passions and feelings, together with the great in- 


crease in the size of the penis and testicles of the 
man, show the advent of a peculiar change in the 
system, by which it is adapted for the propagation 
of the species. The desire for coition, implanted by 
nature for a wise purpose, becomes developed after 
the period of puberty, and the organs by which the 
act is performed, gradually assume their full vigor 
and dimensions. 

The age at which the peculiar changes in the 
organism called puberty takes place, varies in dif- 
ferent climates and in different constitutions. It is 
also influenced by the mode of life and circum- 
stances of the individual. The period of puberty 
occurs earlier in warm than in cold climates; in 
temperate countries, it takes place from the four- 
teenth to the seventeenth year; the passions of 
youth living in large cities and towns, are, however, 
excited earlier than are those of the agricultural 
population, on account of the greater sources of 
temptation to which they are exposed. 

In those animals which are not endowed with 
reason to guide their actions, the desire for copula- 
tion occurs periodically, and in some the testicles 
increase in size until the season of procreation is 
over, and then decrease, and continue small, until 
the commencement of the next season. Evidence 
of this may readily be found in the testicles of the 
cock-sparrow, which progressively increase in size 
from January till the end of April, when the love 
season of these birds usually terminates. The in- 
crease and diminution of these organs, however, do 
not take place in birds only, but has been dis- 
covered in many other animals, more especially in 
the land-mouse and mole. 

There are several reasons which might be alleged 


for the existence of a periodical desire for copula- 
tion among animals — were it otherwise, as the pas- 
sion for sexual intercourse is very powerful, and 
animals do not possess the, light of reason so as to 
•be enabled to restrain or subdue their passions, it 
is probable that from its excessive indulgence, all 
their other habits might be lost, and even the 
necessity of providing for their present and future 
wants might be forgotten; besides which, in those 
animals which are very fruitful, and which do not 
long carry their young, their number would be in 
a short time exceedingly great, far beyond the 
means of support that nature has provided for 
them. Another reason might be alleged, that, 
were domestic animals always in heat, they would 
be of comparatively little service to man, while the 
flesh of wild ones would be too coarse and rank, 
and altogether unfit for the purposes of nourish- 
ment. The period of the year during which the 
desire for copulation principally exists in animals, is 
that of spring — few experience any sexual desire 
during the winter, except the frog, wolf and fox; 
the severity of the cold seems to destroy, at least 
for the time, all such feelings. Ou the other hand, 
in climates where tlys summer is very hot, the geni- 
tal organs of animals become so much relaxed in 
tone, as to render them unfit for the proper per- 
formance of the necessary act. The case is, how- 
ever, somewhat different in domestic animals; the 
passion is less periodical, the secretion of semen, 
not being arrested by cold, to which they are much 
less exposed, and the circumstances in which they 
are placed being altogether different. 

Generally the desire in the male and female for 
procreation arises at puberty, and may be indulged 


in, if health and the requisite powers continue, at 
all and seasons of the year. Being endowed 
by nature with the high, and exalted function of rea- 
son, they are left free agents, having the full power 
to use or abuse such capabilities, with the conscious- 
ness that if they do abuse the function's with which 
they are gifted, they must abide the penalty. Man 
is not affected by changes of temperature as are the 
wild animals, either as respects excessive heat or in- 
. tense cold, and, consequently the human testicles 
are generally the same in dimensions after puberty 
throughout the year. The secretion of semen by 
man, begins about the period of puberty. The 
passion, for copulation, and the secretion of semen, 
are indications of the great change which takes 
place in the system at that time. Those eunuchs 
only are not influenced by the desire for procrea- 
tion who were deprived of the organs of generation 
prior to puberty; those who were castrated subse- 
quent to that event, still entertain the desire for in- 
tercourse, although in a less degree than men who 
have all their organs entire. Desire is more lan- 
guid in advanced age, than during the period of the 
adult life; the semen is then more sparingly secre- 
ted, and, indeed, all the functions of the system are 
performed in a less energetic manner, although, as 
will soon be shown, old men are not in every instance 
deprived of the power of generation. Desire is 
also generally moderate in persons who have small 
organs, occasionally it is altogether absent. 

To the use of the sexual organs for the continu- 
ance of his race, man is prompted by a powerful in- 
stinctive desire, which he shares with the lower 
animals. This instinct is excited by sensations; and 
these may either originate in the sexual organs 


themselves, or may be excited through the organs 
of special sensation. Thus in man it is most pow- 
erfully aroused by impressions conveyed through 
the sight or touch; in many animals the auditory 
and olfactory organs communicate impressions 
which have an equal power; and it is not improba- 
ble that in certain morbidly excited states of feel- 
ing, the same may be the case in ourselves. Local 
impressions — as stated in the subsequent part of 
this work— has a very powerful effect in exciting 
sexual desire, as the experience of almost every one 
will attest; local diseases, as hereafter mentioned, 
often cause the most criminal acts. The instinct, 
for sexual intercourse, when once aroused, even 
though very obscurely felt, acts upon the mental 
feelings, and thus becomes the source, though al- 
most unconsciously so to the individual, of the 
tendency to form that kind of attachment towards 
one of the opposite sex, which is known as love. 
This tendency cannot be regarded as a simple pas- 
sion or emotion since it is the result of the combined 
operations of the reason, the imagination, and the 
moral feelings; and it ; is the engraftment, so to 
speak, of the physical attachment upon mere cor- 
poreal instinct, that a difference exists between 
the sexual relations of man, and those of the 
Tower animals. 


The female organs of generation are classed in 
two divisions — External and Internal. The Exter- 
nal consists of the mons veneris, labia externa, perin- 
eum, clitoris with its prepuce, nymphae, vestibule, 


meatus urinarious, hymen in virgins, and caruneulae 
myrliformies in matrons. 

The Internal are the vagina, uterus, two ovaries, 
and two fallopian tubes. The latter four are strictly 
copulative, and the others, generative organs. 


The vulva, or pudendum, is a collective designa- 
tion for the external female genitals, including the 
mons veneris, the internal and external labia, the 
clitoris, and the orifice of the vagina. 

The mons veneris, which is the same as in man, is 
the elevation of the integuments directly over the 
pubis. It is constituted of condensed cellular tis- 
sue and adipose matter, and in the adult is covered 
with hair. 

The labia externa, or majora, are two folds of 
skin continuous with the mons veneris; they extend 
iu the longitudinal direction, and terminate below 
in an angular commissure,— the fourckette. Like 
the mons veneris, they are composed of cellular tis- 
sue and fat, and form the anterior boundary of the 
sexual organs. The internal lining of these parts 
is a delicate, vascular epithelium, which is fur- 
nished with mucus follicles. The distance between 
the fourchette and the anus constitute the perineum 
and is about an inch in length. 

The labia interna or minora, called also the 
nymp/ue, are duplicatures of the epithelial mem- 
brane within the external labia. They arise from 
the anterior commissure of those bodies, and sur- 
round the base of the clitoris, thus forming the 
preputium clitoridis. At the inferior margin of the 
clitoridis the folds of the nymphae unite in the j'rcenn- 


lum, from which point they diverge, and are gradu- 
ally lost on the inner surface of the labia majora, at 
the orifice of the vagina. The clitoris, in several 
respects, resembles the male penis. It is formed 
of erectile tissue, and arises by two crura from the 
rami of the pubis and ischium. It has also a sus- 
pensory ligament, but is imperforate, and seldom 
exceeds the length of half an inch. Its free portion 
is called the glans clitoridis ; its internal structure 
is similar to that of the corpora cavernosa penis, 
and, like the latter, also, it is an erectile tissue, 
acted upon by a small muscle, the erector clitoridis. 
These muscular fibres arise from the rami of the 
pubis and ischium, pass on the under surface of the 
clitoris, and terminate at its apex. 

The orifice of the urethra is within the vulva, 
about an inch behind the clitoris, and directly above 
the vagina, where its position is marked by a small 

The orifice of the vagina is an elleptical opening 
below or behind the meatus urinarious, having a 
thickened margin, and being founded laterly by the 
nymphse. It is usually more or less closed by a 
duplication of mucous membrane, the hymen, which 
exists sometimes as a perforated septum, and some- 
times as a semilunar fold. It is more rarely imper- 
forate; in other circumstances, it has two or more 
orifices, and again it is represented by a partial, 
fringed margin, or may be congenitally deficient. 
Its rupture leaves an irregular edge, with thickened 
cicatrices, known as the carunculae myrtiformes. 

The vestibulum is the triangular surface between 
the clitoris before, and the vagina behind ; the 
urethra opens into it, and it is bounded latterly by 
the labia interna * 





dagjlanatum ai flate. 

Fig. 7, Represents the vagina laid open by a longitu 
dinal section, with the uterus and its appendages in situo.— 

1, Orifice of the vagina with the carunculse myrtiformes ; 

2, Body of the uterus ; 3, 3, Broad ligaments ; 4, 4, Round 
ligaments; 5,5, Fallopian tubes ; 0,6, Their fimbriated 
termination; 7, 7, Ovaries ; 8, Os tineas. Fig. 8, Diagram 
of a section of the unimpregnated graafian vesicle and its 
contents, showing the situation of the ovum. — 1, Mem- 
brana granulosa ; 2, Proligerous disk ; 3, Ovum; 4, Inner 
and outer layers of the wall of the graafian vesicle ; 9. In- 
dusium of the ovary, derived from the peritoneum. 

Fig. 10, The unimpregnated ovum surrounded by its 
proligerous disk, magnified about fifteen diameters. Fig. 
11, Asection of an unimpregnated ovum, representing the 
thick external envelopes, connected with the inner surface 
of the latter, the germinal vesicle. Fig. 12, Represents, 
within a sqare area, the unimpregnated human germinal 
vesicle magnified forty-five diameters. On one side of it is 
seen the germinal spot. Fig. 13, Is a corpus luteum, taken 
from a female who destroyed herself by drowning, eight 
days after impregnation. — 1, Mucous tunic of the graafian 
vesicle sprouting from the circumference toward the cen- 
tre ; 2, External tunic of the vesicle ; 3, Ovarian stroma ; 
4, Ovarian membrane ; 5, Point at which the ovulum 
escaped from the graafian follicle. 

Fig 14. Represents the interior of the uterus, with the 
germ in progress of formation. — 1, 1,1, shows them much 
enlarged; the matter which is to become the membrana 
(lecidua, is seen deposited between and upon their sur- 
face ; 2, 2, 3, 3, Uterine arteries extending into the decidua 
a.nd there forming loops. 

Enteral (SMrserbatfons m tytmxltMt €nm. 

Seminal debility — involuntary loss of semen — 
will cause the following complications, in seven- 
eights of the afflicted, when it, or the practice of 
self-abuse, has existed for two or three years. 

These extracts are from letters of patients, de- 
scribing their symptoms, when they applied to 
us for treatment, and all of whom we are hap- 
py to say, we have since cured, though some of 
them were under our care a year, before we 
would consent to its discontinuance. We relieved 
nearly all of such patients, however, of the pain- 
ful and troublesome symptoms in a very few 
days. Patients with diseases of this nature, will 
experience a relapse if the treatment is not per- 
severed in for a considerable time after they have 
been cured. We therefore take this occasion to 
warn them from doing so, till informed by us 
their cure is permanent, as the disease is much 
more obstinate after such relapse. 

As all of our communications are strictly pri 
vate and confidential, we, of course, neither at 
tach, nor copy the addresses, but if any persons — 
who may wish us to cure them — doubt their gen- 
uineness, we will present them with indubitable 
proofs, upon a personal visit. All patients may 
place implicit confidence in the strictest secrecy 
being kept by us, as we never divulge the name 
or residence of any patient, upon any pretext 



The vagina is a canal interposed between the 
uterus and the vulva, and between the bladder and 
the rectum. Its length is from four to six inches; it 
is somewhat dilated near the uterus, and contracted 
at its commencement in the vulva, between which 
points it curves obliquely forward and downward, 
being flattened transversely, and having its parietes 
in close apposition. It is composed of three laminae; 
the external one is a fibrous structure, strong and 
contractile, and much resembling the dartos of the 
scrotum. The middle layer is constituted of erectile 
tissue enclosed between two layers of fibrous mem- 
brane : it commences directly within the vagina, sur- 
rounds its upper half, and extends about an inch 
backwards in the direction of the uterus, its thick- 
ness being seldom more than two lines. This is 
the corpus spongiosum vagina, so called ou account 
of its resemblance to the analogous structure in the 
urethra. It is also called the plexus retiformis, and 
embraces a remarkable congeries of veins. 

The internal membrane belongs to the mucus class, 
it is furnished with laminae, and is marked by trans- 
verse folds or ridges — the rugae of the vagina — 
which, however, are chiefly confined to its anterior 
portion. A raphas, or longitudinal slightly elevated 
line commences on the anterior parietes of the 
vagina just within its orifice, and extending back is 
lost near the uterus, and a nearly similar line exists 
on the posterior surface. The epithelial covering 
of the mucus membrane is remarkably developed, 
and presents an abundant papillary structure. 

The glands of Duverney resemble, both in form 
and function, the glands of Cowper in the male. 


They are situated on either side of the orifice of tho 
vagina, beneath the sphincter muscle and the super- 
ficial porineal fascia. They are from half an inch 
to an inch long, narrow and flattened, and their 
excretory duct opens in front of the carunculae 

The sphincter vagina muscle has been already 
described. It embraces the orifice of the vagina 
like a broad ring, and covers the plexus retiformis. 


The uterus or matrix is a pyriform body, sus- 
pended in the pelvic region between the bladder 
before and rectum behind. It varies greatly in 
size ; its average length is about two and a half 
inches, its breadth across the upper and widest part 
an inch and a half, and its thickness an inch. It 
is divided into the fundus, or that part above the 
Fallopian tubes ; the cervix or narrowed portion 
below; the body, which is intermediate between 
the fundus and cervix, and the ostincae or opening 
into the vagina. It is convex behind and flattened 
in front, with its base directed upward and for- 
ward, and its neck downward and backward. 

The anterior surface of the uterus has a peritonial 
covering over its upper half, which membrane is 
reflected from it to the bladder, constituting the 
anterior ligament. The posterior surface is entirely 
invested by the peritoneum, which in this instance, 
is reflected upon the rectum, so as to form a pouch 
between, and is called the posterior ligament. -On 
the sides of the uterus, the anterior and postcrioi 
laminae of peritoneum, meet in a longitudinal median 
liue, and on them reflected from it to form the 


hroad ligaments. These ligaments are extended 
transversely to the parietes of the lesser pelvis on 
each side, and thus form a paritial septum in its 
cavity, and transmit between their laminas, the 
blood-vessels and nerves, the uterus and ovaria. 

The round ligaments are given off on each side 
from the body of the uterus directly beneath the 
Fallopian tubes, whence they pass upwards and 
outwards until they reach the internal abdominal 
ring ; they then run through the abdominal canal, 
come out at the external ring, and are inserted into 
and lost upon the mons veneris. They are strong, 
fibrous vascular cords, embraced between the folds 
of the broad-ligaments; and they are accompanied 
in the abdominal canal by a process of peritoneum, 
which sometimes extends to the exit of the liga- 
ment at the external ring. 

The cervix uteri projects by a mammillated -ex- 
tremity into the vagina, and the two are joined at 
the base of this prominence. The cervix has a cen- 
tral perforation, — the os tinea of an. oval shape, and 
placed transversely. It is bounded in front by a 
prominence of the cervix, called the anterior lip, 
and behind by a similarly formed but much smaller 
projection — the posterior lip. 

The cavity of the uterus is triangular with an ori- 
fice at each angle; one of those three orifices and 
much the largest, is continuous with the canal of 
the cervix, and of course communicates directly 
with the vagina, and is called the internal orifice of 
the uterus. It is smaller than the os lincce; but 
the canal between those openings is somewhat 
dilated, flattened from front to back, and marked 
by two longitudinal lines, one on the anterior, the 
other cvi the posterior surface. These are again 


crossed by transverse and erratic striae, named 
from their branched appearance the arbor vitae, 
among which are interspersed some small mucous 
glands and follicles, known as the ovida Nabolhi 
They are not confined to the cervical canal, but are 
also found in the cavity of the body. At the 
angles in the upper part of that cavity are two 
small orifices, one on each side, opening into the 
Fallopian tubes. 

The uterus is composed of three very dissimilar 
tissues, an exterior serous covering derived from 
the peritoneum; an internal mucus membrane, and 
between these the proper structure of the organ. 

The peritoneal coat has been already noticed, 
together with the manner in which it forms several 
of the uterine ligaments. The mucus membrane is 
a continuation of that which lines the vagina and 
is continued into the Fallopian tubes. It can only 
be separated in patches and with much difficulty; 
whence its existence as a separate membrane has 
been sometimes denied. 

The proper tissue of the uterus is of a greyish 
color, of an almost cartilaginous hardness, and com- 
posed of fibres, respecting which a great diversity 
of opinion has always existed. By some anatomists 
they are regarded as simple fibrous tissue; by 
others, as muscular structure; and by others as a 
convertible substance, that is fibrous in the unim- 
pregnated state, but which, during pregnancy, ac- 
quires the character of muscular fibre, resembling 
that of the viscera of organic life, and like it en- 
dowed with contractility. Such is the opinion of 
Cruveilhier, who remarks, that the great influx of 
blood into the uterus and the consequent distension 
and development of its fibres in the gravid state, 


reveal a structure which was before concealed by 
an atrophy consequent to inaction; and he adds, 
that this view is confirmed by the microscopic ob- 
servations of Roederer, the chemical experiments 
of Schwelgue, and also by the results furnished by 
comparative anatomy, which has shown circular 
and longitudinal muscular fibres in the uteri of some 
animals even in the unimprcgnated state. 

The gravid uterus, however, presents two layers 
of fibres which have the structure and function of 
true muscle: the external layer is formed both of 
longitudinal and oblique fibres, the former being 
chiefly developed on the anterior and posterior sur- 
faces, and upon the fundus; the oblique fibres are 
most distinct at the sides, where they are continued 
upon the Fallopian tubes and the round ligaments. 
The internal layer consists of circular fibres, with 
some longitudinal fibres on their internal surface; 
but around the cervix this structure becomes annu- 
lar, the fibres decussating at various angles. The 
muscular character of the uterine body, in preg- 
nancy, is strongly evidenced by its powerful con- 
tractions in the process of parturition. 

The internal substance of the uterus is thus com- 
posed of a mass of closely interwoven muscular or 
fibro-muscular fibres, together with a vast congeries 
of blood vessels, which though small in the unim- 
pregnated state, acquire a surprisingly augmented 
size during the later periods of pregnancy. 

The arteries of the uterus, four in number, are 
derived from two sources: two from the hypogas- 
tric trunk, forming the proper uterine arteries, and 
two from the ovarian arteries, of which branches 
are also distributed to the ovaries and Fallopian 
tubes. The uterine veins are of great size during 


pregnancy, and are then called the uterine sin- 
uses. The nerves of the uterus are derived in part 
from the hypogastric, in part from the renal 


These trumpet-shaped canals are given off from 
the superior angles of the uterus. They are em- 
braced within the folds of the broad ligaments, 
being undulated in their com'se and variable in 
their diameter. They are four or five inches in 
length, and extend almost to the sides of the pehis. 
Their diameter at the uterine orifice will only admit 
a bristle, but the canal at its external or free ter- 
mination is as large as a quill. This outer end is 
broken into a triple series of fringe-like irregular 
processes of unequal -length, constituting the fim- 
briated portion, or corpus finebriahim, in the centre 
of which is seen the orifice of the tube called the 
otium abdominale. One of the processes is attached 
to the proximate part of the corresponding ovary, 
by which means these structures are retained in 
their relative position. 

The tube is in itself a strong fibrous cord resem- 
bling the tissue of the unimpregnated uterus, and 
it is invested by the peritoneum by being placed 
between the duplication of this membrane that forms 
the broad ligament. The internal coat is mucus, 
analogous to that which lines the uterus, and re- 
markable for presenting a gradual transition into 
the peritonial coat, with which, at its fimbriated 
orifice, it is continuous ; in other words, the mucus 
terminates in a serous membrane, and thus in the 
two openings of the Fallopian tubes exist the only 


two normal perforations of the otherwise perfect 
sac of the peritoneum. 

The use of the Fallopian tube is that of an 
oviduct. It receives the ovum from the ovary and 
transmits it to the uterus, and also provides it with 
a double envelope — an internal one of a gelatinous 
or albuminous nature, and an external one, the 
chorion, which is fibrous, and appears to be pro- 
duced by the exudation of fibrine from the lining 
membrane of the tube. 


These bodies, one on each side, are placed within 
a duplication of the broad ligament, and behind the 
Fallopian tubes. They are of a flattened oval form, 
reddish-white color, and unequal fissured surface. 
They are retained in their position partly by the 
broad ligament, and partly by an ovarian ligament, 
a rounded cord that connects them with the upper 
angles of the uterus, below the Fallopian tube. 
The ovaries are about an inch in length, and their 
distance from the uterus is about an inch and a 
half. They have an external investment derived 
from the peritoneum ; within which, and closely 
adherent to it, is the proper fibrous capsule, strongly 
resembling the tunica albuginea of the male, and, 
like the latter, sending prolongations into the gland 
that divides it into irregular compartments resem- 
bling a network of areolar tissue. Within and 
lining this fibrous capsule is a vascular membrane, 
analogous to the tunica vasculosa in man. The 
fibrous and vascular tissues are intimately blended 
into a spongy mass, called stroma, in the midst of 
which are the Graafian vesicles, of which bodies 


ten or fifteen exist in a mature state in each ovary, 
besides a vast number that are imperfectly developed 
and never reach the perfect state. 

The Graafian vesicle, or ovisac, consists of two 
layers, of which the outer one is a mere vascular 
thickening of the surrounding ovarian stroma ; 
while the internal one, which is the true ovisac, is 
transparent, and has no obvious structure. Within 
it is placed the ovum, the latent germ of the future 
being, between which and ovisac is a granular mat- 
ter, arranged in the following manner : a series of 
the granules surround the ovum in a discoidal form, 
and assume the appearance of cells, so united as to 
form a sort of membrane, which is called by Dr. 
Barry the tunica granulosa, by others the proligerous 
disk. The granules that line the ovisac within are 
also collected in a membraniform structure, the mem- 
brana granulosa. These two parts are connected 
by four band-like extensions of the same ccllulo- 
membranous structure, which seem to suspend the 
ovum in its place, and are called the retinacula. 
The space between the membranes which is not 
occupied by the retinacula, is filled with fluid, in 
which few or no cells can be seen. 

The corfits luteum is a yellowish, spongy tissue, 
granular, friable and vascular, having a small cen- 
tra] cavity lined by a delicate membrane. It is the 
cicatrix left after the escape of the ovum from the 
ovary, and consequently varies much in size accord- 
ing to the time which has elapsed since conception. 
At first it is large, bean-shaped, and prominent, so 
as to occupy from a fourth to a half of the ovarium. 
But after parturition it diminishes in size, and in a 
a few months a cicatrix alone remains, and even 
this is finally effaced. Whence it happens that 


neither the corpora lutea, nor their remaining cica- 
trices, are certain indications of the number of chil- 
dren a woman may have borne. Dr. C. D. Meigs 
has published an interesting memoir on the corpus 
luteum, in which he maintains that the apparent 
structure, form, color, odor, coagulability and re- 
fractive power of this body are similar to those of 
the yolk of the egg; a true vitellary matter " de- 
posited outside of the inner concentric spherule or 
ovisac of the Graafian vesicle." 


The result of successful coition between the two 
sexes is the injection of a certain portion of the 
spermatic fluid into the vagina; and fecundation 
appears to consist in the direct communication of 
the male spermatozoa with the Graafian vesicle of 
the ovarium, through the fissure of the zona pellu- 
cida to the coutained ovum, which ruptures and 
escapes from the ovisac. The corresponding Fallo- 
pian tube simultaneously embraces, by its fimbriated 
extremity, the ovarian surface, and receives the 
detached ovum into its canal, while the ovisac itself 
remains as the lining membrane of the corpus 
luteum. While the fecundated ovum is yet in the 
Fallopian tube it acquires a gelatinous covering,, 
the amnion, which is again surrounded by a mem- 
brane of fibrous texture, called the chorion. The 
amnion secretes a fluid, the liquor amnii, in which 
the germ is suspended. How long the ovum re- 
mains in the oviduct, in other words, what time it 
takes in its transit from the ovary to the uterus is 
not certain, but appears to vary from eight to four- 
teen days. The first action of the uterus is the 


secretion, on its inner surface, of a delicate cibriform 
membrane, the decidua, which is composed of two 
layers, the decidua vera, that lines the uterus, and 
the decidua reflexa, that covers the ovum. Next 
forms the placenta, which results from the pene- 
tration of the vili of the chorion into the structure 
of the decidua vera. Its fatal portion is derived 
from the umbilical vessels, which diverge in every 
direction from the point at which they enter its 
substance; or, in other words, it is generated by 
the extensions of the vascular tufts of the chorion, 
formed from the capillary terminations of the um- 
bilical arteries and veins. The maternal portion of 
tho placenta is formed by the enlargement of the 
decidual uterine vessels, and these assume the char- 
acter of sinuses, against which the foetal tufts pro- 
ject so as to form out of it a sheath for themselves. 
The blood is conveyed into the maternal placenta by 
the uterine arteries, and is returned by the corres- 
ponding system of veins ; but there is no direct 
vascular communication between the two placentae 

The period of puberty, the commencement of 
that part of life which is distinguished by the capa- 
bility of propagating the species, does not occur 
exactly simultaneously in the two sexes; and still 
greater variety in this respect is caused by differ- 
ence of nation and climate. Puberty declares it- 
self in- the female sex of our climate about the 
twelfth, thirteenth or fourteenth year, sometimes 
later, and is indicated by the occurrence of men- 
struation. In the male sex puberty begins about 
the fourteenth, fifteenth, or sixteenth year, and La 


attended with the secretion of semen, and with the 
occurrence of discharges of that fluid. In hot cli- 
mates the body undergoes the changes of puberty 
earlier than in cold climates. It is stated that in 
the hot regions of Africa, they take place in the 
female sex as early as the eighth year, and during 
the ninth, in Persia. Young Jewesses are said to 
menstruate earlier than other females. The capa- 
bility of reproduction generally ceases in the female 
sex, together with the function of menstruation, 
between the forty-fifth and fiftieth years. The du- 
ration of the reproductive power in man cannot be 
so exactly defined ; in general, it continues longer 
than in woman, and not unfrequently very old men 
manifest a remarkable degree of virile power. 

The changes in the system which characterize the 
period of puberty, are partly local, affecting the gene- 
rative organs, and partly of a general nature. The 
local changes consist in the growth of hair ou the 
pubes in both sexes ; in the menstruation of the fe- 
male ; in the copious formation of semen, and occur- 
rence of erection in the male ; and in the enlarge- 
ment of the breasts in the female sex. The general 
changes of the system affect principally the respia- 
tory and vocal apparatus, the entire form of the 
body and the physiognomy, the character of the 
mind, and the feelings relating to the sexes. The 
respiatory organs acquire an increase of volume at 
the age of puberty, especially in the male sex ; and 
the vocal apparatus undergoes the change so readily 
noticed in boys of sixteen to eighteen, the shrill, 
squeaking, broken and ultimately the deep-toned 
masculine voice. The whole body attains its most 
perfect form ; while the features receive their stamp 
of individuality, and present signs serving to express 


the passions, though they are not as strongly 
marked as in many adults. Boyish indifference is 
changed to the most marked attention to the oppo- 
site sex. Sexual ideas arise instinctively and ob- 
scurely in the mind, and set in action the creative 
power of the imagination, but, at the same time 
by their influence on the whole mind, call into play 
the noblest mental faculties, so as to elevate and 
adorn the feeling; of love. 


Menstruation is the periodical discharge from 
the female generative organs of a bloody fluid 
poured out by the inner surface of the uterus. The 
first discharge is usually preceded and accompanied 
by some symptoms of general disturbance of the 
system, namely, by abdominal congestion, pain in 
the loins and a sense of fatigue in the lower limbs. 
Its periodical return is also attended in most 
women by unusual symptoms, which vary in differ- 
ent persons. The menstrual periods occur usually 
at intervals of a solar month; their duration being 
from three to six days. In some women the inter- 
vals are as short as three weeks, or even less-; 
while in others they are longer than a month. 
Aristotle made the extraordinary statement, that 
menstruation rarely occurs every month; but in 
most women only every three mouths. This is 
evidence that the sage philosopher was an old 
bachelor, and studied books and not nature. I 
might as well add here, that those absurd and mis- 
chievous books purporting to have been written by 
Aristotle, are full of as false statements, silly direc- 
tions, and are blind leaders of the blind. 


Menstruation does not usually occur in pregnant 
women, nor in most cases in those who are suckling. 
In rare instances, however, it continues during the 
period of suckling, and even during pregnancy. 

The sun, moon, stars, nor even the migratory 
comet, do not exert an influence over this function, 
for upon every day in the month different females 
have their catamenia. It is now well known that 
the menstrual periods tend to regulate and moderate 
sexual indulgence. This will be more fully ex- 
plained under the head of Conception. 


All .the phenomina connected with the sexes 
which animals present, are dependant on the forma- 
tive generative organs ; the ovaries and testes, and 
on the influence which they exert on the rest of 
the organism. Not merely does castration during 
youth, for the most part, prevent the development 
of the sexual feelings and emotions, but even when 
performed at adult age, that operation destroys 
almost entirely the sexual excitability. This is 
also the case with animals, in which common obser- 
vation detects its effects. 

The almost entire physical change which occurs 
in animals after this operation is readily suggestive 
of its controlling influence over the body as well as 
over the mind of men and animals. 

In both sexes the act of coition is attended with 
pleasurable sensations, but their respective share iu 
the act itself is very different. In the female there 
is but a partial expenditure of the nervous power, 
when she fully participates in the sexual act, and 
none scarcely when her feelings do not prompt hei 



to return the ardor of the male; neither does she 
expend any nervous power in the production of 
erection; no energetic "rythmic muscular contrac- 
tions when the venereal excitement has reached its 
height, and no emission of semen ; but merely an 
increased secretion from the vagina, excited by the 
impressions on the sensitive nerves of the female 
sexual organs, and serving to lubricate the passage 
to facilitate sexual commerce. 

The man feels exhausted after the act; the woman 
simply yields herself up to the pleasureable excite- 
ment. The clitoris, which is known to be»the part 
most susceptible of the pleasurable sensations in 
in females, is not like the penis of the male, ren- 
dered by friction the seat of intense sensation and 
nervous excitement during coition, and hence its 
excitability is found not to be wholly exhausted 
after the act is completed. 

The semen, or fecundating matter, contains the 
property which gives integrity to the germ, and is 
capable of determining the particular form of the 
new animal or plant, but it is defective and cannot 
develop that form until it has united with the 
female germ. The defects of the ovum, or germ, 
and of the semen, are not the same in nature, for 
each contains that part in which the other is defi- 
cient. The ovum and semen are not similar halves 
of one whole. The ovum of animals contains the 
part destined to germinate, and is, in fact, the 
primary particle which forms the basis of the new 
organism, and maintains uniterrupted the chain of 
organization. The semen, o*n the contrary, does 


not itself germinate, but is a fluid excitor of ger- 
mination, endowed with the power of determining 
the form, not only of the species, but of the indi- 
vidual organism which produced it. 


Pregnancy may occur at any period after men- 
struation has been established, and until the cessa- 
tion of that function. 

That conception occurs more readily immediately 
after the menstrual periods, is a remarkable fact ; 
but that it will not take place after eight or twelve 
days from that period, as stated in some books, 
written to misguide, or from ignorance, is absurd 
and untrue. 

The catamenial function, is nature's guarantee 
that the females in whom it exists, are capable of 
conceiving and bearing offspring. 

The conditions necessary to the consummation of 
this object is, that the semen or seed from the 
opposite sex should enter the womb. Quantity has 
nothing to do with the success. 

The grand office of the semen is to awaken the 
life which previously exists in the animulculce in the 
ovaries of the female, and constitute (so to speak) 
the characteristic principles of vitality of both into 
one individual embryo. 

To effect successful commerce between the sexes 
nature has arranged the organs of generation to a 
perfect adaptation, and impressed all animals with 
the desire to cohabit. The reward of obedience to 
these natural laws are perfect physical happiness 
and the procreation of the species. 

In man and mammalia fecundation is the result 



of the successful union of the sexes, in which the 
semen of the male enters the womb, traverses the 
Fallopian tubes to the ovum, and then comes into 
direct contact, in order that the function of impreg- 
nation be matured. 

This has been proved beyond the possibility of 
a doubt, by direct experiments upon numerous 
animals with uniformly the same result. 

It has been frequently observed that men whose 
copulative organs are very short, or those in whom 
the malformation consists of the opening or mouth 
of the penis terminating any considerable distauce 
from the end of the organ, are rendered impotent; 
from the fact simply that the condition of the penis 
prevents the semen from being thrown directly into 
the womb. 


The human ovum reaches the uterus in from one 
to two weeks after impregnation. The embryo is 
enclosed in a membraneous sac which nature has 
formed for nourishing and protecting it. When 
the blood vessels of the embryo have reached its 
surrounding membranes which have been developed 
from cells, and participate in the active properties 
of cells, it absorbs the nutriment. • The nutritive 
matters thus absorbed are supplied by the blood 
of the mother in the human placenta. The ab- 
sorbed nutriment enters directly into the blood of 
the foetus. The process thus maintained between 
the foetal and maternal blood, supplies the process 
of respiration to the foetus, or an equivalent for 
that process. 





<%IaBation of f late 7 ani) fvpm 15 sift 10. 

Fru. 15. — Represents a foetus of two months' gestation 
(growth), surrounded by its uterine membranes, attached 
by the umbilical cord to the placenta (after-birth), and 
floating in fluid (amnial), and is the most perfect one of 
this period I have ever seen ; (a) the pellucid membranes, 
(b) the accumulation of vessels forming the placenta ; (c) 
the embryo seeu through the membranes. 

Fig. 16. — Displays a foetus of five months within the 
womb, which has been laid open ; blood vessels are seen 
running through the various textures, and the cord is seeu 
twisted around the neck and left ancle. Below is seen the 
postern surface of the vagina, and on each side of the womb 
is seen the fallopian tubes terminating in many finger-like 
projections, and between them and the womb the ovaries. 


June, 1858. 
Sir : — As we have arranged the fee for my 
cure, now for the desired explanation. Without 
having heard of Masturbation, or its conse- 
quences, and wholly unsuspicious of them, I did 
indulge to some extent in it. I should judge be- 
tween 14 and 17 years old. I am now 55. It is 
quite likely to excess for some part of the time, 
for at first I thought no evil in connection with 
it, but as I grew older, I knew better and aban- 
doned the habit. The result of this involuntary 
loss of semen continuing, was to produce a 
state of atony for some years— an almost total 
loss of virile power, — though from the age of 30 
I have been able to partially cohabit at times, 
when under the treatment of some of the best 
physicians. The urethra has been sore ever 
since that period. This sub-inflammation (I sup- 
pose) now exists. }t is for you now to infer the 
nature and extent of the functional derangements 
I labor under. Their indications at present are 


a loss of virile f oncer , a weak flow of urine gener- 
ally breaking to pieces as it falls, occasional pains 
within the rectum, and a sore feeling in voiding 
urine. I have thought at times, that sexual 
commerce abated the seeming soreness of the 
parts. The feces when costive, are covered with 
blood and matter on one side, pain in mictura- 
tion sometimes, and a few drops of creamy look- 
ing matter will follow the urine. I am very often 
obliged to get up in the night to pass urine ; some- 
times very restless, and unable to sleep ; linen dis- 
colored, and sometimes I have a yellow discharge 
from the urethra, and in the morning shredy sub- 
stances pass with the urine. I have a pain at night 
in the 'rectum, which will last for hours, and be so 
severe as to prevent the passage of the urine." 

This case presents nearly the same complica- 
tion and symptoms, as almost every patient suf- 
fers with, whose disease has existed for any 
great length of time. Many young patients even 
at this writing though they have nearly all such 
symptoms, have not attained the 20th year. Out 
of the number of about one hundred and fifty pa- 
tients of this class, under our care and treatment 
at one and the same time, more than one hundred 
of them applied to us with theseseminal diseases, 
complicated with severe and dangerous affections 
of the urethra, testicles, bladder, and kidneys. 
Nearly all of them are laboring under indiges- 
tion and costiveness, and their nervous system so 
affected as to be partially or totally unfit for 
study or business. The affection of the bladder 
and kidneys is a most distressing and dangerous 
complication, as any physician will inform you. 



Within seven days after successful copulation and 
conception, the ovum (female germ) envelopes itself 
in membranes and passes into the womb through the 
Fallopian tube. The womb has also generated mem- 
branes within its cavity for the reception and nourish- 
ment of the embryo. 

The membranes enclosing the embryo, secrete a 
watery fluid in which it floats, protected by this means 
from uterine pressure and injury, or destruction from 
concussion or jars of the body of the mother. 

So small and delicate are the embryonic structures 
that at the commencement of the second month of 
gestation, the length is only from a few lines to half 
an inch. 

The extremities are leaf-like appendages and just 
visible. Then the mouth also exists, soon after the 
anus is seen ; the last bone of the spine, (the coccyx) 
is very large and the first bone formed. The head 
acquires a considerable size ; the eyes advance for- 
ward from being lateral, to their natural anterion 
position, and the nasal cavities are soon apparent. 
During the second month, the umbilical cord is envel- 
oped in its sheath, and' the intestines are discernable. 
About the end of the second month, the bones and 
muscles begin to form ; the heart is covered, and the 
great arteries assume their permanant position. The 
glandular organs, the lungs and liver exist ; then ap- 
pear rudimentary kidneys and the testes (Testicles) or 
ovaries. The external organs of genera tion make 
their appearance in the shape of- wart-like prominence ; 
the bladder soon after makes its appearance. 

Up to this period the mouth and nasal cavities are 
not separated ; the eye-lids and external ear are now 


apparent, and the extremities are more distinct, the 
fingers and toes are marked by separation. At this, 
period of developement the embryo is about an inch 

In the course of the third month the foetus acquires 
about three inches in length and proportionate comple- 
tion of developement. In the fourth month the sex 
is perceptible, and it has obtained four inches in length, 
and in the fifth twelve inches ; at this period begins 
the formation of the fat and nails, and signs of foetal 
life are perceptible to the mother. The foetus born at 
the sixth month of gestation often breathes but does 
not live. During the seventh month the fcetus has 
acquired about sixteen inches, and if born may live. 
The skin is red. In the eighth lunar month the eye- 
lids become free, and the testes descend from the belly 
to the serotui). In the ninth month the hair appears 
on the head and the embryo measures about seventeen 
inches ; at the lower part of which it increases in size, 
so that in the tenth lunar month it measures about 
twenty inches, and weighs from six to twelve pounds 

The weight of infants at birth vary very much, but 
the first child a mother weans is generally smaller than 
those born subsequently ; and males weigh more than 
females, being a trifle larger also. I have myself seen 
a child live a few days, which weighed three and a 
half pounds. Tlie elder Dr. Ramsbotham confined a 
woman who was delivered of a child weighing sixteen 
and a half pounds, and Mr. O. D. Owens -assisted in 
the delivery of a child weighing seventeen pounds 
twelve ounces, measuring twenty-four inches in length. 
This was the largest child ever delivered, which is on 

Birth occurs at the end of nine months. 



The principal end of man's earthly existence is 
offspring. However widely opposed their general 
natures may be, all are united in the desire which 
finds its accomplishment in the reproduction of 
their kind. I say all, for I do uot hesitate to as- 
sert without fear of contradiction, that no man and 
wife ever had their affections perfected or devel- 
oped who were deprived of legitimate offspring. 
It i-s one of the first duties of the human race to 
increase and multiply, and the man who leaves the 
world without having obeyed the injunction, can 
scarcely be said to have fulfilled the great end of 
his existence. All men who are not of monstrous 
conformation, or who have not been seriously in- 
jured by artificial means, are equal to the task of 
reproduction; indeed, without the parts and means 
necessary to reproduction, he could scarcely exist 
at all, and would be no more a human being than 
if he were deficient of heart or brains. There is no 
such thing as barrenness in natural women, and the 
causes which are supposed to render women so, can, 
iu ninety cases out of a hundred be removed. 

It is not denied, however, that a great many 
married persons are unblessed with offspring, whose 
exertions are undoubted, and who would give 
much if it were otherwise. The causes of unfruit- 
ful marriages are numerous. One is, their unfit- 
ness in consequence of malformation, besides Fluor 
Albus, (generally termed whites,) Leucorrhoea, 
Prolapsus Uteri, (falling of the womb,) Chronic 
Gonorrhoea, or Gleet, extreme indulgence, and a 
very vitiated state of the system of either, or both 
man and wife, from Scrofula. The obliteration of 


the vaginal canal, or absence of the ovaries or 
uterine tube in the female, also are causes; but 
these are rare occurrences. My opinion is, that 
but very few females are of necessity barren 
Young married persons almost invariably become 
physically adapted to each other, though it occa- 
sionally happens that a couple will have no off- 
spring, and yet being divorced, will form other 
connections, and both will have children. It was 
so with Bonaparte and Josephine. A French 
writer says, that good authority reports the em- 
peror as having used various tinctures, borax, 
marjorum, etc., of course to no effect. There is 
sometimes too much ardor in persons of full habits 
and amorous propensities; their intensity, however, 
is generally qualified by time. This is well exem- 
plified in newly married couples, as the first year 
of their marriage is generally unfruitful from their 
too frequent amorous embraces, thereby preventing 
the semen from attaining a healthy state. Moder- 
ation may be produced by a light vegetable diet, 
cooling medicine, and occasional sea-shore trips. 
Conjugal enjoyment on the part of the female 
should be followed by repose, as but very little 
motion or agitation in persons of warm tempera- 
ments is sometimes sufficient to prevent the ovulum 
from reaching its proper location. A female desir- 
ous of conceiving, must not cohabit too often, for 
the first month after her supposed conception, as 
the spasmodic agitation consequent on the embrace 
of a very amorous couple, is calculated to disturb 
the embryo in its earlier state of existence, and 
hence occasion abortion or miscarriage. 

Baillie, Swauinerdaur, Larry, Dubois, and others, 
say, that the great leading cause of sterility is 


weakness or debility on the part of the male or* 
female, or both; and Dubois says, if this matter 
was duly attended to, nine-tenths of the people who 
are now pining for heirs might be blessed with 
numerous progenies. 

Libertinism, and that horrid and loathsome prac- 
tice of self-abuse, or masturbation, are the principal 
causes, and I have, therefore, treated upon them 
largely in another part of this work. Among the 
less numerous causes, are dancing immoderately, and 
tight-lacing, as the pressure causes a weakness and 
lassitude of the system. Stimulating drugs, etc., 
such as Cantharides, tincture of lyttte, essence of 
marjoram, arrow-root, syrup of pine-apples and 
port-wine, mushrooms roasted and steeped in salad 
oil, or borax, are worse than useless, for many of 
them actually injure the person, as my large prac- 
tice for many years too well prove. General phy- 
sicians often administer such remedies, when^hey 
ought to know they will prove injurious; and if 
they do not, they are equally at fault; but those 
who should be eternally cursed are the unprin- 
cipled quacks, who palm off their injurious and 
nauseating stuff for money, regardless of the lasting 
injury to those who are unfortunate enough to use 
them. Yet some of these remedies sold for the 
cure of sterility, irnpotency, weakness or debilita- 
tion, diurnal and nocturnal emissions, or loss of 
semen — with the consequent impoverishment of the 
whole system — are actually recommended by phy- 
sicians, either from ignorance or self-interest. I 
cure physicians every month of such diseases, which 
is the best proof possible to obtain, of their total 
ignorance of the causes, aud proper treatment of 
such cases. 


Some authors think there are fertilizing virtues 
in water-cresses, duckweed, carrots, dandelions, 
artichokes, figs, potatoes, shell-fish, peaches, hemp- 
seed, eggs, calves'-feet jelly, etc. The most of these 
are incentives to amorous propensities, but no 
farther. Ludwig says the females of some countries 
swallow spiders, flies, ants, crickets, and even frogs 
to promote fecundation. 

Morning is undoubtedly the most auspicious to 
generation. When a female with a low womb is 
married to a masculine man, they must correct the 
difficulty by means that may seem obvious, or they 
will probably have no offspring, and the female 
suffer agony instead of pleasure. If the semen is 
placed beyond the proper location, it cannot im- 
pregnate. When the case is directly otherwise, a 
proper remedy will be necessary to secure it from 
falling short. 

It is a popular error that there is a mode by 
which male or female offspring may be produced at 
will. It is of no consequence whose theory of the 
mysteries of reproduction is correct, they are agieed 
on certain points, which shows this to be impossible. 
There are tolerably conclusive rules, however, for 
telling the sexes of children before they are born. 
Ladies experience more sickness with boys than 
with girls, which may be caused by their gen- 
erally being larger and mere lively. Their appe- 
tites generally vary, such as food that is hearty 
for the one, and of a different kind for the other. 
A roundness of the form promises a boy; whereas, 
when the tendency is nearly all to the front, and 
the hips and back give but little evidence of the 
lady's situation, the great probability is that the 
little stranger is a girl. When a pregnant female 


is prone to sickness in the morning — longs for 
food of an invigorating quality — and carries her 
increase of form rather all round her, than in any 
particular place, the chances are altogether in 
favor of a boy ; whereas, if her symptoms are 
otherwise, and as described above, she will, in 
all probability, be delivered of a girl. 


While all must admit that the reproduction of 
our kind is the evident intention of the sympathy 
of the sexes for each other, it is equally certain that 
there are numerous cases iu all countries, wherein 
such a consummation were better avoided. For 
example, indigent people cannot be very anxious 
for numerous offspring to rear up in poverty; very 
fruitful females must find it very unpleasant to be 
nearly always in a state of pregnancy, nor is it to 
be supposed that married .persons who are afflicted 
with hereditary diseases, can derive happiness from 
bringing into the world beings whose existence may, 
in all probability, be a burden to them. 

Many females are so constructed as only to be 
able to give life to others at the sacrifice, or, at 
least, the risk of their own. This consequence 
alone, if no other, should prompt the physiologist, 
physician and philanthropist, to seek some remedy 
which would avert such awful suffering. Another 
reason, people, under all circumstances, whether 
they are poor or afflicted with diseases, or so organ- 
ized, as to risk life in reproduction, will get married, 
hence, anything that will prevent the evil com- 
plained of, and yet allow nature her full rights, 
cannot but be of incalculable benefit to the public. 


Other medical writers have treated upon this subject, 
but from either ignorance or delicacy, have not 
done so with sufficient fullness. I will reiterate 
here, what I have previously stated — that those 
physicians who say that conception will not take 
place from the tenth or twelfth day after the cessa- 
tion of the menses, till their re-appearance, assert 
what they ought to know is not so, as many of my 
jJB&aders, no doubt, know from their own experience; 
again: another proof of the absurdity of such a 
pretended discovery is, that females will often have 
their regular catamenial flow, for months after 
they have become pregnant. Any exercise that 
will disturb the embryo within twenty-four hours 
after conception, may be sufficient to prevent off- 
spring. Dancing, and urinating immediately after, 
will often prevent. Riding a trotting horse, or 
any exercise, that will agitate the ovum before it is 
securely located, will certainly prevent. If these 
fail but once in five years, females cannot have 
large families. Among the other anti-fecundating 
remedies, are strong cathartics, all stimulating 
fluids, victuals that will promote thirst, bathing 
soon after coition, terminating the conjugal act 
before it reaches its ultimatum, will often prevent 
it; but, as I have stated in another place, pre- 
viously, such a practice will produce seminal dis- 
eases and impotency in the male almost before they 
are aware of it. Prolonging the venereal act will 
also cause seminal disease and impotency. 

A fine sponge, of an inch and a half or so in 
diameter, fastened by a silk string to withdraw it 
after absorbing the generating fluid, is ineffectu- 
al to prevent conception. The French cuiidoms, or 
coverings worn by the male, are not only effectual 


iii preventing conception, bnt are used to prevent 
contracting venereal diseases. 

Three or four syringe-fulls of warm water energet- 
ically used immediately after coition, will sometimes 
prevent conception. 

Neither the various medicines nor mechanical appli- 
ances, which are advertised as harmless, yet effectual, 
can be relied upon. 

As neither of the preceding are positive and cer- 
tain preventives to conception, and as persons inclu- 
ding physicians from all parts of the country are 
applying to me every week by letter or in person, for 
a sure preventive for their wives, or some of their 
female patients, who cannot give birth to offspring 
without losing their own or the life of the child, I 
have after years of study, research and experiment, 
attained the great object which has been so unavail- 
ingly sought for heretofore, that is, for a man aud hia 
wife to fully enjoy sexnal intercourse according to the 
laws of nature, and at the same time not beget off- 
spring, or if they wish any, to limit the number accord- 
ing to their wishes or circumstances. It is used by 
the wife without inconvenience, and so secret that it 
cannot be kuowu by the husband, and will last until 
the change in the wife's life, at about her fortieth 
year, renders its further use unnecessary, or in other 
words for a lifetime. It cannot cause the male or 
female the slightest injury, or interfere in the least 
with ttie fullest sexual enjoyment. 

I have previously stated, that the French condoms 
will prevent conception, but the objection to them is, 
they are troublesome, liable to be torn in coition, 
prevent the full sexual enjoyment, as they do not allow 


that reciprocal warmth of the male and female geni- 
tals which is necessary, as it prevents their coming in 
contact except through the covering, which often 
chafes and irritates the female parts, and will if used 
for any great number of times, cause seminal weak- 
ness, debility and Impotency in the male. 

Preventing conception and producing abortion are 
very different from each other ; my plan does not 
allow the semen to enter the womb at all, which is 
the only possible way to prevent conception, as all of 
your family Physicians will inform you if asked. If 
the semen enters the womb, conception takes place, 
which cannot be got rid of without an abortion being 
produced, which all know endangers the life of the 
female, and leaves a lasting weakening disorganization 
of the sexual organs, sooner or later producing con- 
sumption or some general chronic disease, which proves 
fatal to the poor unfortunate ; to prevent such suffer- 
ing and calamities is the next great reason why I have 
consented to announce my remedy, as it must be plain 
to every one, that it will save an incalculable amount 
of suffering and crime, for from all the statistical 
information I can gain, there are thousands of abor- 
tions daily produced in this civilized, but wicked world. 
I am sorry to say, I am very often applied to by 
married and siugle persons, who offer me large 
fees, if I would produce abortion for them, and to 
save myself the trouble of any more such applica- 
tions, I take this medium of announcing to the world, 
that I never have, and never will produce an abor 
tion for any person, however large a fortune they 
might offer me for doing it. 

The author is a Physician of a very extensive 
practice, and contrary to popular opinion, has the 
strongest sympathies for suffering humanity, and 


for a long time has made the physiological laws per- 
taining to the reproduction of our species and it? 
attending conditions, a subject of close study. 
The nature of conception and the mode of subsequent 
developement, of the Foetus, I have fully illustrated 
and explained in another part of this work. As I 
have before mentioned, the various plans which have 
been suggested by wise men, have either failed to 
answer the purpose, or were directly opposed to the 
full enjoyment of, or physically at variance with 
sexual union. Mankind will not adopt any remedy 
that will debar intercourse or interfere with the 
pleasure which nature has provided. Nature is nature, 
and all must admit, that it will not submit to being 
too much circumscribed. In fact you may as well try 
to suppress the sense of hunger and thirst by abstain- 
ing from food and drink, as to attempt to appease the 
equally imperative demands of sensual desires <by some 
other method than the natural indulgence of the 
sexes. The apprehensions of accouchment, and the 
exhusting effects of nursing, to many, are too real. 
Many a fair women with spirit and vigorous health, 
will in a few years after becoming mothers, pine away 
into mere skeletons, with enough constant suffering to 
cause a living death. 

Many married people of ardent natures are con- 
strained to forego the pleasures of love, or else see 
their children inevitably afflicted with some incurable 
hereditary disease, which they would entail upon them. 

The effectual prevention of conception, will greatly 
reduce the fearful crime of abortion, infanticide, and 
illegitimacy in many respectable families. Family dis- 
cords, jealousy, and suspicions of infidelity, in a great 
measure emanate from excessive aptitude of conception, 
and dread of the dangers of confinement on the part 


of the female, as natures demands cannot be restrained. 
When the husband finds that his dearest rights are 
invaded or denied at home, (many, very many such 
married men, I cure every month of venereal diseases,) 
he too often for the preservation of domestic peace, 
seeks unlawful pleasures abroad, his appreciation of 
home endearments diminishes, and his wife's suspicions 
of infidelity are too justly aroused, and discord, dis- 
content, and very often a total rupture of the mar- 
riage relations ensue. 

Many persons no doubt, will charge me with 
encouraging immorality and crime, which is the very 
reason of my declining heretofore, to offer this inven- 
tion to the public ; but being so incessantly importuned, 
and satisfied of the rectitude of my motives, flattered 
also, with the firm belief that on calm reflection, this 
will appear insignificant, and that I will be more than 
compensated by the immense amount of suffering and 
crime it will be the means of preventing ; I present 
it to those whose welfare requires it. It certainly 
cannot be wrong to endeavor to legitimately promote 
our own happiness, or that of the common good of 
mankind. Is it a sin to prevent offspring, if it averts 
their being reared to swell the tide of ignorance, 
poverty, had moral degredation, that finds its end in 
the prisons? I certainly cannot bring myself to 
think so. It cannot be a sin to preserve the health 
of young mothers, thereby saving them the torture 
of broken constitutions, and an early grave I Cer- 
tainly, to prevent the entailment upon our innocent 
offspring of an hereditary and incurable disease, or 
insanity cannot be ! Those most interested may 
decide these interrogations for themselves. 

Those who wish to avail themselves of this remedy, 
will remit our consultation fee of five dollars, 



giving us a general description of the female, 
and state whether she is suffering with a falling 
of the womb, whites (discharge), any other de- 
bility or not. 

In directing letters to me, the number of my 
Post Office Box, 844 New York City, is all the 
direction that is necessary to write on the en- 
velope, as they will reach me just as safe, as if my 
name was superscribed in full. N. B — All let- 
ters containing money, should be registered. 


Coition. — Young persons often irretrievably injure 
themselves, by forcing the desire for coition. Nature 
must be your guide. Sexual commerce must not bo 
prolonged or a fatal weakness may be the result. 
The virility of an old man will often be greatly 
increased and extended by marrying a young robust 
female. Young children should not be allowed to 
sleep with sickly or aged persons ; this advice should 
be strictly followed ; for we have too many diseased 
nurses in charge of our children imparting disease by 
the breath, or teaching them pernicious habits which 
may ruin them before they are discovered. Any ex- 
cess in youth detracts ten-fold from future abilities 
in old age. 

Child-bearing. — The usual period of pregnancy is 
nine months, though instances occasionally occur of 
its continuing ten or eleven months, and on the con- 
trary, six or seven months only. 


Fruitful Months. — February, March, April 
and May, are supposed to be the most fruitful, or 
iu other words, May, June, July and August, are 
most auspicious for conception. 

Twins. — Females may have twins — the offspring 
of different fathers. Colored and white children at 
the same birth have proved this. In fact, the 
mothers have acknowledged cohabiting with another 
person on the same day besides their husbands. 

Color of Hair. — Fair, or red haired women 
are more ardent in their affections, and generally 
more fruitful. 

Miscarriages. — When a female once miscarries, 
she will be always liable to miscarry when the same 
stage of pregnancy again occurs. Particular care 
should be taken at that period, by all females that 
have met with such an accident. 

The Hymen. — The existence of the hymen in 
women is no certain evidence of virginity; and, 
vice versa, its absence is no proof of unchastity; 
though as a general rule, if virtuous, it is found at 
marriage. Illness and various accidents will rup- 
ture it. 

Epilepsy. — The only cure for uterine epilepsy is 

Violation. — Conception will take place, even 
when a female is violated by force. 

Hermaphrodites. — There are no hermaphrodites, 

Fig. 19. — Represents a full grown foetus in the womb, 
/olded up and in its natural appearance and attitude, most 
oeautifully represented and executed. 


all mixed appearances which have been supposed 
to be such were caused by malformation. 

Effects of Bad Temper. — The pregnant female 
should be protected from irritation, and govern her 
own temper, to ensure amiable offspring. 

Signs of Pregnancy. — In addition to the usual 
known signs of pregnancy, an experienced observer 
•will detect a glassy appearance of the eyes in the 
early stage of pregnancy. 

Excesses — Total Abstemiousness. — Refrain — as 
I have previously stated the consequences — from 
youthful excesses. On the other hand, it has been 
maintained that total abstemiousness from sexual 
intercourse, would invigorate the mind, but facts 
prove otherwise. It is better to comply with 
nature than resist her altogether. 

Suckling, etc — A debilitated or sickly female 
should not suckle her infant. Yet, when not so, its 
own mother is its best nurse. Bottled porter is 
strengthening for the mother, but it should be used 
sparingly. If the mother will take exercise in the 
open air regularly while pregnant, it will benefit 
both herself and the child. 

A few words on the Choice of, a Partner. — The 
female should be from three to ten years younger 
than the male. If you are tall, choose a lady at 
least a head shorter than yourself. If you are of 
a lively disposition, your partner should be the 
reverse. A corpulent man should marry a spare 
women, and vice versa. A person of a dark com- 


plexion should be united with one that is light. In 
a word, married persons should almost be at direct 
antipodes to each other. 

I think it is directly in opposition to the laws of 
humanity for very sickly persons to get married 
This may seem a cruel interpretation, but I think 
it is more so, for parents to usher helpless infants into 
the world to lead out a miserable existence from 
hereditary diseases. By close observation for a 
considerable period of time, I find that in those 
couples where the age of the male is greater than 
the female, that a great majority of the children 
will be of the male sex, and when the female is the 
elder, they are of the female sex. Young ladies 
and gentlemen should test the correctness of this 
by examining into the cases of their friends and ac- 
quaintances. As they undoubtedly will find my 
researches correct, they should make choice of a 
partner in accordance with their future anticipa- 
tions. . . 

The most conclusive proof in favor of uniting 
opposites, is found in the evil consequences attend- 
ing marriages among blood relations. In such 
persons there is generally a moral and physical 
resemblance, which is certain to entail suffering on 
their offspring. A glance at the degeneracy of the 
Royal families is the best of proofs that such unions 
should not be formed. In Spain the race has 
become puny, sickly, and imbecile. Scrofula — that 
most offensive of hereditary diseases— afflicts all the 
Bourbons, and the reigning families of Holland, 
Austria, England, and most royal families. It 
has become a generally known fact, that Queen Vic- 
toria has had a running ulcer between her shoulders 
for many years. It is with man, as with animals. 


crossing the breed improves it. A writer says that 
the Persians, by adopting this crossing practice, 
have nearly obliterated the traces of their Mongo- 
lian origin. The most excruciating deaths of females 
at the time of delivery will be prevented, if persons 
will follow these and the foregoing directions in 
forming unions. A strong robust man should marry 
a woman with wide haunches, then the delivery of 
a robust child will be safe. A female, narrow 
through the haunches, should be united to a deli- 
cate, medium-sized man. A woman with narrow 
haunches always suffers extremely in giving birth 
to a child. A small one, therefore, will lessen it. 

A modern physiologist truly says that a well- 
formed woman should have her head, shoulders and 
chest small and compact; arms and limbs relatively; 
her haunches apart ; her hips elevated ; her abdo- 
men large, and her thighs voluminous. Hence, she 
should taper from the centre up and down. Whereas, 
in a well-formed man, the shoulders are more prom- 
inent than the hips. Great hollowness of the back, 
the pressing of the thighs against each other in walk- 
ing, and the elevation of one hip above the other, 
are indications of the malformation of the pelvis. 

If a female throws her feet much to the rear in 
walking, her knees are inclined inward. A woman 
that marches, rather than walks, has large hips and 
a well-developed pelvis. If she moves along trip- 
pingly on her tip-toes, a large calf and strong 
muscles are indicated. The foot lifted in a slovenly 
manner, so as to strike the heel against the back 
of the dress, is a sure sign of a small calf and 
narrow pelvis. A heavy walk, when there is but 
little spring on the toes, gives evidence of a weak- 
ness of limbs. 


A man or woman having dark eyes and a con- 
sumptive tendency, should choose a blue-eyed part- 
ner. Confirmed consumptive persons should never 
marry. Iu partial or artificially produced con- 
sumptive cases, marriage is often very beneficial. 

The most proper age for men to marry is between 
twenty-one and thirty; and for women, between 
eighteen and twenty-five years of age. The offspring 
of very early marriages is generally puny or con- 
sumptive: furthermore, their own health suffers, and 
their lives are shortened very materially. On the 
other hand, there is scarcely any freshness in the 
maiden of thirty; while the matron of that age, if 
her life has been a happy one, and her hymenial 
condition of not more than ten years standing, is 
scarcely in the hey-day of her charms. It is a well- 
known fact also, that bachelors grow old faster than 
married men. 

Twins. — The extraordinary distension and at- 
tractiveness of the uterus, is probably the cause of 
the birth of one or more children at one time. 
Some writers think it is occasioned by the presence 
of several vesiculae, ready to be detached from the 
ovaria, and consequently ripe for fecundation. 
They may be detected by motions in more than one 
part of the body at the same time. 

Parturition. — When the child has become fully 
developed, the probability is, that the labor pains 
are produced by the reaction of the fibres of the 
uterus, thus causing a great distension, which makes 
it compulsory on the foetus to evolve itself. After 
confinement the uterus immediately closes, and 
falls into a state of repose, from which it is not 



proper to disturb it for at least a month, as it 
requires that time to recover its natural situation. 

Formation of Fcetus. — About the eighteenth 
day after intercourse, the ovum begins to assume 
a determinate structure. 

Nursing. — A pregnant woman should not suckle 
her child, as it not only robs the fcetus, but injures 
the mother and child. The fcetus absorbs a por- 
tion of all the aliments the toother partakes of, 
therefore the necessity of pregnant women being 
careful of what they eat and drink. The milk 
taken by a healthy infant equals in weight about a 

third of the food taken by the mother. 


Teething. — The small molar teeth appear be- 
tween the ages of eighteen months and two years, 
and then the first dentition is complete. Children 
at this time of life will do better in the country, or 
on the sea shore. 

Resemblance in the Offspring of the Parents. 
— Notwithstanding all the speculative nonsense that 
has been written on this subject, there is nothing 
certain as to the particular faculties or appearauce 
imparted to the offspring by the father or mother. 
There is only a general rule of resemblance. The 
mental organs of children, are not influenced by the 
frame of mind in which the parents — or either of 
them — may have been in at the period of reproduc- 
tion. I think the fact of the semen not being 
created instantaneously — as it would have to be, 
for the offspring to be influenced by the state of 
mind of the parents at the time of coition — is a suf- 

1 04 quackery. 

ficient refutation of the theories promulgated by the 
wmdd-bc great physiologists. They and every one 
else, who pretend to any knowledge of this subject 
admit that the semen must remain a certain length 
of time in its receptacles for it to perfect its vitality. 
Each assist in modeling the embryo after their own 
form and likeness. The parent who is most ener- 
getic and excited at the time of sexual action, may 
impart the most distinct features of resemblance. 
But this combined resemblance is not imparted by 
one to one part, and the other to another, but an un- 
definable uuion governs the whole frame. The qual- 
ity of one parent may preponderate, yet, that of 
the other, equally pervades the entire system. It is 
the same with color; the issue of a black and white, 
is well known to be of a uniform complexion. The 
children of aged parents— or where one is old and 
the other young — are generally delicate and spare 
of form, and very rarely well organized. 


Upon these subjects I have doubted the propriety 
and usefulness of an expose; for it is customary — 
nay, to pretenders, an all-important theme, upon 
which to discourse learnedly — to stave off public 
odium and contempt from themselves, by assuring 
the public of their prodigious learning and skill, 
in tearing down the edifices of others to build a 
flimsy, tottering, untenable superstructure for the 
gigantic "1, myself, the Doctor." 

All humbugs depend for their success upon 
their being forced upon the world by dint of un- 
tiring, unceasing exertions to palm them oif. I can 


estimate their success by learning the amount of 
exertion spent upon them. 

As I have written a book or two, I shall not 
criticize a certain class of "Prodigies" in that line, 
lest I might accidentally fall into the awful vortex, 
and grow giddy from the elevated estimation of my 
own extraordinary " productions." 

But I must regret what cannot be helped, that 
all large cities are infested with a set of self-styled 
" Professional Gentlemen," who care more for the 
pulses of the purse than for the welfare of their 
patients. That every man should look carefully to 
his own finances is right and proper, but a physician 
has other duties to attend to also. 

It is all-important that Venereal patients have 
early, efficient and skillful treatment, as a simple 
case will assume a malignant form or undermine the 
constitution if neglected or maltreated. 

In offering this plain practical work, I know 
thos^ who follow its teachings, will give me credit 
for doing good, and of being candid. 

Specifics. — Vended medicines, warranted to cure 
everything, are worse than no remedies ; for in dif- 
ferent diseases there are also different states of the 
system ; and in different stages, even of the same 
disease, there is marked dissimilarity of action. 
In the inflammatory stage of Gonorrhoea, a warm 
bath is of great value in relieving pain, difficulty of 
micturation, and fever in the part ; but no one of 
common sense would, therefore, advise a warm bath 
as the great remedy for clap. Yet this is what 
venders of patent medicines say, " Good for every 

Since I have been so serious upon a subject I pur- 
posed to treat lightly, I may be excused in giving 

106 POETRY. 

a poetical effusion of a conscientious " Allopath of 
the Far West," which was shown me a few years 
ago by a western student, and which was regarded 
as a literary curiosity. I regret that I did not 
recollect the name of the author, for it would be 
particularly gratifying to me to pay genius due 
credit. • The Poem is entitled — 


His history — his fame must write, 

Record a sacred truth, 
Of Doctor Quackey's only son, 

A great and famous youth. 

A perfect tiger on fits was he, 

A geater on a puke ; 
He kills the people all by bits (siti). 

He physics, good St Luke ! 

Although his practice was not large, 
He managed it quite well ; 

Sent the pious up to heaven, 
The wicked down to hell. 

A. pillar of the State was he, 
And showed his mighty skill, 

In filling up most speedily, 
The grave-yard on the hill. 

Hydrum-garum, herbum-scarum, 

A scholar sure was he ; 
Or never could such Latin words 

Have uttered fast and free. 

In fact, he was remarkable, 

A man of genius pure, 
With Lobilly and Highjohny, 

Would all diseases cure. 


To surgery he made pretence, 
Had a scalpel, spatula and fork, 

Talked loud of London, Paris, Edinburg 
Of Hospitals, New York. 

Of cankers in the blood said much, 

Of heat and cold at war, 
And swore by his huge saddle-bags, 

Red pepper was the Cure ! 

Devoutly did he thank his God, 
For him who invented Steam ; 

To parboil mortals of the sod, 
A hocus-pocus theme. 

Don Quixote's balsam Sancho drank, 

Had ne'er such virtue sure, 
Although it wrought a miracle, 

It left poor Sancho sore ! 

Gracious heavens ! — help me conclude, 

In spite of tears and grief, 
The history of that noble son, 

That charlatanic chief. 

He died ! — departed worth farewell ! — 
Thy deeds, and prowess bold, 

Hath reared high up to heaven, 
Fame's monument of gold. 

He offered his life a sacrifice, 
To that dear, precious theme ; 

His all, — for to perpetuate, 
Lobelia, — Pepper, — Steam. 


The term, Venereal Diseases, is applied to all 
those affections which are more or less, directly or 
indirectly, the consequences of sexual intercourse. 


As early as two thousand four hundred years 
before the advent of our Saviour, the Jewish Law- 
giver made special laws to prevent or cure diseases 
arising from sexual intercourse. Showing the evil 
to have been remarkably prevalent at that period 
to attract the attention of the government of that 
ancient people. 

We will examine the thirteenth and fifteenth 
chapters of Leviticus, impartially, leaving the 
reader to form his own conclusions. 

Leviticus, Chap. 13 : 2. When a man shall 
have in the skin of his flesh a rising, a scab, 
or bright spot, and it be in the skin of his flesh like 
the plague of leprosy, then he shall be brought unto 
Aaron the priest, or unto his sons the priests. 

3. And the priest shall look on the plague in the 
skin of the flesh: and when the hair in the plague 
is turned white, and the plague in his sight be 
deeper than the skin of his flesh, it is a plague of 
leprosy: and the priest shall look on him, and 
pronouce him unclean. 

8. And if the priest see, that behold, the scab 
spreadeth in the skin, then the priest shall pro- 
nounce him unclean: it is a leprosy. 

14. But when raw flesh appeareth in him, he 
shall be unclean. 

15. And the priest shall see the raw flesh and 
pronounce him unclean: for the raw flesh is unclean: 
it is a leprosy. 

Whoever will read attentively these two chap- 
ters, will find that the diseases known as Leprosy 
and Syphilis, are considered by the ancients one 
disease. But I shall show that the preceding 
quotations indicate that the disease was Syphilis, 
for immediately after, a Bubo is described, which is 


the frequent consequence of Syphilis, and never of 

18th verse. The flesh also, in which, even in the 
skin thereof, was a bile, and is healed. 

19. And in place of the bile there be a white 
rising, or a bright spot, white, and somewhat red- 
dish, and it be showed to the priest; 

20. And if, when the priest seeth it, behold, it 
be in sight lower than the skin, and the hair 
thereof be turned white, it is a plague of leprosy 
broken out of the bile. 

The following refer to the disease most known as 
Gonorrhoea, (clap,) and is of a different character 
from the former: 

Leviticus, chap. 15 : 2. Speak unto the children 
of Israel, and say unto them, When any man hath 
a running issue out of his flesh, because of his issue 
he is unclean. 

3. And this shall be his uncleanness in his issue: 
whether his flesh run with his issue, or his flesh be 
stopped from his issue, it is his uncleanness. 

16. And if any man's seed of copulation go out 
from him. (This also proves that the involuntary 
loss of semen for excessive sexual indulgence was 
well known to Moses.) 

19. And if a woman have an issue, and her issue 
in her flesh be blood, she shall be put apart seven 

The ablution and abstinence enjoined by Moses 
must have been to prevent or cure affections liable 
to follow sexual intercourse at that time, and 
exhibits great sagacity and knowledge of human 
nature in the promulgator. 

Solomon, 2950 years before Christ, was equally 
aware of the evil consequences of excessive com 


nierce between the sexes, for in the fifth chapter, 
and third verse, we find Wisdom admonishes her son 
thus : For the lips of a strange woman drop as a 
honeycomb, and her mouth is smoother than oil. 
4. Her end is bitter as wormwood, sharp as a two- 
edged sword. 5. Her feet go down to death. 18. 
Let thy fountain be blessed, and rejoice with the 
wife of thy youth. 19. Let her be as the loving 
hind and pleasant roe ; let her breasts satisfy 
thee at all times; and be thou ravished with her 

Later: St. Paul to the Corinthians, chapter T, 
It is good for a man not to touch a woman; but 
if they cannot contain, let them marry: for it is 
better to marry than to burn. 

"In the year 1245, TJbertius, governor of Carrara, 
died of a lingering disease of his private parts, 
occasioned by too much venery." 

About the year 1423, a physician of Bologna, 
says, " that the retention of the poisonous matter 
lodged between the glans and prepuce, after a man 
has had to do with a foul woman, causes the part 
to become black, and the substance of the yard 
mortifies, and that Bubo occurs in the groin in con- 

A physician of Borne, in 1521, first called it the 
Venereal Disease. 

Not until 1782 was it demonstrated that Gonor- 
rhoea and Syphilis were different diseases. The 
honor of this discovery is due to Benjamin Bell, an 
English surgeon. 

In 1830, M. Ricord, a Paris surgeon, proved 
conclusively that a special cause (perfectly inde- 
pendent of the sexual organs) gave rise to, and 
occasioned the propagation of Syphilis, showing it 


to be as distinct a contagious disease by inoculation 
as is the small-pox. 

Non- Virulent Affections will include Gonor- 
rhoea, Leucorrhcea (whites), irritation and inflamma- 
tion of the organs of generation, excoriations, etc. 

Virulent Affections. — Syphilis is the result of 
a specific poison. First stage is local, second stage 
is, when it is absorbed into the system, and may be 
transmitted to the offspring, but not inoculable; 
third stage is still deeper seated, and affects the 
deeper seated parts, the bones, etc., and cannot be 
produced by inoculation, but it will be hereditary. 


By the term non-virulent is meant those affec- 
tions following (may exist without sexual inter- 
course) sexual intercourse, reproducing themselves, 
contagious by contact with mucous membranes, but 
will not produce the disease by inoculation in the 

Under this head, first we shall speak of those 
discharges common to both married and unmarried 

It is estimated that four-fifths of the females of 
Paris have a constant discharge from the vagina. 
To attribute this to gonorrhoea would be mon- 
strously absurd. 

Even in this city female discharges are infinitely 
more common than many imagine, even in virgins: 
but they must not be attributed to contagion nor 
sexual intercourse, except in a small minority. 

Yet when these discharges are acrid, they will 
frequently cause irritation and discharge from the 


male organ after coition, or occasion abrasion of the 
glans and prepuce, but which is not gonorrhoea. 
For example, it frequently occurs from a severe 
cold that the acrid mucous secretions excoriate the 
nose and lips, the tears, the eye-lids and cheeks, 
yet no one ever thinks for an instant that there 
ought to exist any suspicion of an immoral cause. 

The mucous membrane lining the nose, eyes, 
mouth, vagina, penis or anus, is one and the same 
in its character. But if a discharge equally inno- 
cent, and which would cause no more irritation than 
the former, should exist in the male or female 
organs of generation, suspicion is at once aroused, 
but without a cause. 

Then, from many of the discharges which females 
labor under, an irritation, excoriation or discharge 
may occur from coition, in the male organ, and not 
be a clap — proper — nor have been produced by 
previous intercourse. 


Leucorrhoea is an excessive, and altered secretion 
of the mucus furnished by the membranes lining 
the vagina and uterus or womb, generally white or 
nearly colorless and transparent, without much 
odor, sometimes gluey or resembling pus, (matter,) 
or may be yellow, green or slightly bloody, either 
very thin or quite thick, and may exist for a few 
days or many years. 

This is an affection among females which is 
exceedingly common, and which frequently cause a 
disease in the urethra of the male — eveu in the staid, 
sober, pious, and strictly moral man too; but there 
are those whose piety is questionable, who try to 


shield themselves behind false assertions, and 
flagrant improbabilities. 

The cases are so rare in which persons are hap- 
pily deceived, that I shall relate one: M , a 

married man, of family; like a certain Congress 
man,, whose sympathy induced him to offer a peti 
tiou in Congress for the Relief of Widows and 

He said, " Mr. Speaker, (holding a paper in one 
hand, the other being thrust into his breeches 
pocket,) I hold iu my hand a petition for the relief 
of Widows and Orphans." A waggish member 
asked the orator, "In which hand?" The dif- 
ference between the latter and the former gentleman 
was, that the first had sympathized with a widow 
only, and that his pungent convictions were that he 
was not the first who had also sympathized with the 
" Lone Widow." 

But the result proved that his fright was occa- 
sioned by irritation of the urethra from a leucor- 
rhcea, which terminated the menses. However, to 
punish him for his waywardness, I let him repent 
for his sins of commission, by not undeceiving him. 

I must necessarily be brief in the little I have to 
say upon the treatment of leucorrhcea in either sex, 
or rather in the female, and the irritation caused 
by it in the male. Cleanliness is an important item 
here. In the male all these irritations as stated 
above, will yield in a day or two with the appro- 
priate treatment. 

But in the opposite sex, leucorrhcea may depend 
upon debility or upon the robustness of an inactive 
Ut'e so common among people in easy circumstances, 
or upon excessive venery or copulation. The bowels 
should be kept regular with Turkey rhubarb, and 


frequent injections into the vagina of warm water 
should be used. Moderate and out-of-door exer- 
cise, and good, but not stimulating, diet are also 
proper. In the robust, a recent affection will be 
relieved by a cleanliness of the parts, frequent 
but gentle physic and exercise and low diet. # Of 
course, coitiou must be prohibited for a time at 

I was consulted by a married lady who had suf- 
fered extremely in body, as well as disappointment 
from sterility for six years, in consequence of an 
inveterate leucorrhoea (whites), which to her was 
almost death, as her whole heart was full of the 
desire and hope to have children. After three 
weeks' treatment — simple treatment— she suspected 
that the object of her sanguine hopes was attained, 
as the monthly period had passed without the usual 

Time revealed the fact that the " consummation 
most devoutly to be wished," was no longer an 

I am satisfied that a large number of married 
women are barren from this cause. 


First. — Amenorrhoea of Rentention, in which 
the function is not performed at the natural time, 
or at all, of which there are three varieties. 

1st, — Non-appearance of the menses in conse- 
quence of congenital deficiency, or malformation, or 
strictural disease of the genital organs. 

2nd, — Want of menstruation, where independ- 
ently of deficiency or malformation, there is either 


a show and partial development, or an entire 
absence of puberty. 

3rd, — When the function ceases after puberty. 

Second. — Suppression of menstruation after it 
has been established for a time, independent of 
pregnancy or lactation, including two varieties. 

1st, — Recent and acute suppression. 

2nd, — Chronic suppression. 

In a work like this it will the better serve the 
end for which it was written, to give a succinct 
description of those of more frequent occurrence, 
leaving the rare and extraordinary to our work de- 
signed for the professional reader alone. 

Suppression of menstruation after puberty may 
depend upon too great fullness of blood, robust- 
ness of habit, seldom occurring in those young 
females who reside in crowded towns or manufac- 
turing places, but in young ladies of the country 
who live more naturally, and exercise in the opeD 
air. It more usually occurs in the delicate, irri- 
table and hysterical. 

Amenorrhcea in females of full habit and costivt 
tendency, is attended with full, heavy oppressive 
feeling in the head, back and loins, with either 
great heat of the hands and feet, or coldness, witn 
sudden flashes of heat; drowsiness, dizziness and 
indisposition to mental or physical exercise. 

The appropriate treatment, will be regular 
habits, low diet, and frequent physic. 

The compound Aloetic Pills are an excellent 
cathartic. Dose, two to five, taken at bed time, 
twice or thrice a week. 

Amenorrhcea from a delicate, irritable or hys- 
terical state of the system, is diametrically opposite 
to the former condition of system; the former being 


too full of the vitalizing fluid, the latter being not 
full enough. 

In a young or middle aged woman, fleshy, full 
of blood, high color, the suppression of the uterine 
function, will be followed by congestion or inflam- 
mation. While in a delicate woman, thin, spare, 
of sallow complexion, extremely nervous, the result 
of suppression would be irritation, attended with 
spasms and severe pain, with intervals of ease and 
quiet. In the former, violent hysterics often follow 
an attack. In the latter, the symptoms — as pain 
in the head, back, loins, limbs and abdomen, yet it 
is of a neuralgic or nervous character. The pain 
attacks first one and then another organ, frequently 

If treatment is resorted to, such as a mustard 
poultice, or a stimulating and anodyne fomenta- 
tion, the pain is quickly removed from the womb to 
the head, from the head to the chest, or heart, or 
bowels. The patient is subject to fits of hysterics 
and fainting. 

In treating the debilitated female for the sup- 
pression of the function of menstruation, the two 
grand objects are to increase the strength and im- 
prove the general health, and to enrich the blood. 
This is best accomplished by generous diet, such as 
is easy of digestion, keeping the bowels regular by 
means of the compound Aloe pills, and the internal 
use of iron. The muriated Tincture of Iron taken 
two hours after meals in half a wine glass of water 
in the dose of three drops, increasing one drop per 
dose at the end of every three days. An occasional 
mustard hip bath, cool sponging followed immedi- 
ately by friction of the surface, to get up a glow, 
are powerful auxiliaries. 


Of direct applications to the womb, electricity is 
almost the only means to be used. 

In some of the cases, where, after the condition 
of the stomach and bowels were healthy, the ame- 
norrhcea continued with slight paleness and weak- 
ness, electric shocks passed through the loins 
quickly induced menstruation. In others, its fre- 
quent repetition led to a similar result; and instan- 
ces were not wanting where a shock suddenly 
produced the flow. Electricity is a powerful agent 
and must be used with great caution. If preg- 
nancy be suspected to exist, however strenuously 
denied by the patient, it ought not to be employed. 
Doctor Ashwell once ordered it, he says, quite 
iguorantly, where the suppression depended upon 
pregnancy cautiously concealed, and abortion oc- 
curred within an hour. 


Mercury is a valuable and powerful remedy, but 
it should only be administered by a competent 
medical adviser. 

Iron, I have already spoken of. 

Ergot of Rye — Sacale Cornutum. — This medi- 
cine has wonderful influence upon the pregnant 
uterus, by producing contraction of that organ, 
hence it is not safe in the hands of persons who 
wish to secure themselves from the opprobrium of 
society, to destroy the evidences of criminal indul- 

Iodine, Madder, Rue, Savine, Seneka-root, Nitre, 
Digitalis, Gamboge, Serpentaria, Wormwood, Musk, 


Myrrh, Castor, Valerian, Lavender, etc., etc.; but 
most of these are simply adjuvants. 

Aloes is the most valuable emenagogue cathartic, 
producing the most salutary effect upon the uterus 
through the bowels. This is so serious and so com- 
mon a difficulty, and the results, if neglected, so 
melancholy, that I most earnestly advise all such 
sufferers to obtain early and good medical aid. 

I have seen many — very many, beautiful, talented, 
and accomplished young ladies go down to prema- 
ture graves by the cessation of this all important 
function of the uterine system. 


In France it is commonly known under the name 
of chaude pisse ; in England and in this country, it 
is called clap, from the French clapier, which signi- 
fies a filthy abscess. 

The circumstances which favor its contraction, 
are a large meatus in the penis, and the fact that, 
during erection and previous to the ejection of the 
semen, the orifice of the urethra has a great tend- 
ency to open, thereby favoring the introduction of 
the gonorrhceal matter. This undoubtedly occurs 
previous to emission, otherwise the disease would 
be more common than it is, if it was not forced 
out of the urethra by the ejaculated semen. 

The symptoms of Gonorrhoea consist in, at first, 
a sensation between pain and a pleasurable feeling 
near the end of the penis, just within the urethra, 
which frequently excites erections. Soon after, 
however, follows an increase of pain, heat, redness 
of the meatus, scalding on making water, and a 
thick yellow or greenish-yellow, discharge from the 

PLATE 10. 

Fij 20. 

SLEET. 121 

urethra. Sometimes, there is great difficulty of 
passing urine, with excessive inflammation of the 
end of the penis and prepuce. 

These symptoms are soon followed in many cases 
by Chordee, which depends upon the loss of elas- 
ticity of the tissues which surround the urethra, and 
which during erections do not yield as in health, 
so that the penis is drawn downwards or bent to 
either side, exciting great suffering in those whose 
organs increase much in size during erection. 

In severe cases, cramp, pains in the testicle, a 
feeling of tightness in the groin, pricking in the 
perineum below' the testicle's, and frequent desire to 
pass water, add to the severity of the case. 

These symptoms increase as the disease travels 
down the canal. 

These are the more urgent symptoms of the acute 

Chronic Stage — Gleet. — In consequence of no 
treatment, or that which is inefficient, the acute 
stage degenerates into the chronic, which is known 
by a marked mitigation of all the symptoms of the 
acute form. The discharge may become thin and 
watery, or be thick and less copious. In other . 
?ases, no running is seen during the day, the lips of 
Uie meatus being merely glued together; the slight 
lischarge upon the linen may only leave a stain like 
that of gum. It sometimes occurs that the only 
symptom, and one which is apt to frighten fidgety 
(nervous) persons, is a discharge of shreds of mucous 
which resembles false membrane, or bits of vermicelli. 

The Chordee may continue a considerable time 
after the other symptoms have ceased. 

Occasionally, when the Gonorrhoea is nearly 

1 22 GLEET. 

well, nocturnal pollutions occur, and not only occa- 
sion great suffering, but excite a renewal of all the 
former symptoms. 

Difficulty of making water (micturition) may 
occur in this stage, which is caused by a spasmodic 
stricture, or inflammation in the canal, from taking 
cold. Or an opposite state may supervene. The 
urethra loses, in part, its power of contracting, so 
that when the bladder has emptied itself, a small 
quantity of urine remains in the canal, which it is 
not able to evacuate, and as soon as the penis 
hangs in a dependent state it dribbles away, stain- 
ing the clothes, and is no inconsiderable annoyance 
to the patient. 

As I treat fully in another place upon Impotency, 
Seminal Weakness, Masturbation, and Sterility, 
I will simply state that chronic gonorrhoea, or gleet, 
will almost invariably cause impotence and sexual 
debility. The patient should not forget this im- 
portant truth, that is, that a private disease (vene- 
real or gonorrhoea) never dries up, or wears out. 
It will certainly continue or end by producing 
another disease, if not radically cured. 

I always have some patients — which, unfor- 
tunately for themselves and wives — can bear wit- 
ness to this fact. No person, therefore, who has 
cohabited with any female — other than his wife — 
should even think of sexual commerce with her, for 
at least two weeks after the other coition. I cure 
innocent wives weekly, whose husbands hart given 
them the disease, from not being aware of the 
necessity of refraining from having to do with them 
the length of time above stated. I have cured 
patients who had not cohabited within fifty days, 
but at the expiration of that time cohabited with 


their wives, and the next day the disease made its 
appearance, although they had felt, and the penis 
had looked perfectly well for the whole time. I 
have so many cases of disease that does not develop 
itself till a day or two after cohabiting with their 
wives, that I fearlessly assert as an indisputable 
fact, that nine out of every ten females will contract 
a disease from a man who has cohabited with a 
diseased woman, though the disease may not be 
developed for a day or two after the healthy con- 
nection. As a proof that his wife is pure, no 
private disease generally develops itseif within five 
or six days after the connection. A < ban ere (pri- 
mary syphilis) may show itself — in consequence of 
an abrasion of the skin of the penis in the act of 
coition — within twenty-four hours, but under no 
other circumstances will it do so. 

In consequence of the immense number of half- 
cured, constitutional and complicated cases, con- 
stantly being revealed to me, I think the best 
advice a person can follow who has been inoculated, 
is to open the bowels, adopt a spare diet, keep the 
parts clean with cold water, and apply immediately 
to a competent physician, but, above all, never use 
the quack or advertised remedies. The hands, and 
your clothes, must be kept clean and free from any 
discharge, or your eyes, nose, or anus will be in 
danger of inoculation, as the smallest possible quan- 
tity is sufficient to create a disease. 

Chordee. — By following the advice just directed, 
Chordee will seldom succeed, but when it does, im- 
mediate attenti'on will be required. As erections 
are the main cause of suffering, they may be avoided 
or checked by dispensing with female society, lasci- 


vious thoughts, stimulating and late meals, feather- 
beds, and much bed-clothing. 

When erections occur use cold bathing to the 
penis, and put the feet on the cold floor. An emul- 
sion', containing 5 grains of camphor, and an eighth 
of a grain of morphine, (sulphate of morphine,) 
should be taken at bed-time. The camphor can be 
pulverized by adding a drop or two of alcohol; 
sweetened water, syrup, or gum-arabic water, can 
be used as a vehicle for the medicine, which must 
be continued as long as the chordee is distressing. 

Retention of Water.; — This will, sometimes 
happen, and will be relieved by hot mucilaginous 
teas drank freely, while a hot poultice is applied to 
the lower part of the bowels. Should this not 
succeed, the water must be drawn with the catheter. 

Inflammation of the Neck of the Bladder. — 
Which is indicated by a frequent and urgent call to 
make water, attended with pain on passing the last 
drops, and which may be mixed with blood. Muci- 
laginous drinks, low diet, and an enema, containing 
20 to 30 drops of laudanum, must be thrown into 
the bowels twice-a-day. If severe, even more active 
means should be used, for which the advice of a 
physician will be necessary. 

Buboes. — When Buboes occur in the inflamma- 
tory stage of Clap, they are only sympathetic, ar,d 
require a hot poultice, or possibly a few leeches 
to be applied, and the bowels to be kept open. 
Sometimes, however, this class of buboes — especially 
if the patient is of a scrofulous diathesis — are of the 
most obstinate kind. 



Generally, during the continuance of Gonorrhoea, 
if the patient is at all observant of his symptoms, 
he will feel pain in the perineum, accompanied by a 
dull, heavy, aching sensation in the groin and along 
the course of the chord of the testicle, and finally a 
settled pain in the upper and back part of the 
scrotum, (bag,) so t'hat the hardness and swelling 
can be traced with the thumb and finger for a con- 
siderable distance along the cord. If the patient 
frets the organ by walking, or takes cold, the 
swelling is rapidly increased, the suffering on the 
slightest motion is excruciating. Often during 
sleep the suffering is suddenly rendered almost 
insupportable by the occurrence of nocturnal emis- 
sions. The semen may be accompanied with blood, 
which sometimes gives temporary relief. 

When the inflammation runs high, there will be 
fever, dry skin, furred tongue, hard quick pulse, 
pain in the testicle and belly (abdomen), sometimes 
constipation, accompanied with vomiting. But 
notwithstanding these severe symptoms, patients 
seldom die of this affectiom. 

The causes which excite this disease are cold, 
falling of mumps, fatigue, damp weather, sexual 
intercourse, and particularly are these causes more 
apparent, after gonorrhoea, which leaves the organs 
of generation very susceptible to slight influences. 
The inflammation in the urethra may travel to the 
testicle directly. 

Swelled testicles seldom occurs during the inflam- 
matory stage of gonorrhoea, therefore I advice early 
and powerful means, which, instead of' creating the 
disease of this sensitive organ, cures the primary 


condition of the uretlia, thereby precluding the pos- 
sibility of its occurrence. The cord leading into 
the' abdomen from the upper part of the testicle 
may also swell and be painful. 

To prevent the difficulty, Gonorrhea should be 
cured as early as possible, and when there has been 
uneasiness in the organ, a supensary bandage to 
hold up the part should be worn. When the diffi- 
culty has taken place, staying at home is of but 
little use unless the recumbent posture is persever- 
ingly maintained, and the testicle supported, as its 
own weight will help to aggravate the inflammation 
and augment the pain. The diet must be low, and 
all spirituous liquors, beer, etc., must not be allowed. 
The gonorrhoea — which is the usual cause of swelled 
testicle — will re-appear, or increase, as the swelling 
decreases, for it is a singular fact, that the discharge 
may cease during the whole time of the swelling of 
the testicle. 

A Gonorrhoea, unaccompanied with pain in urinat- 
ing, is properly a chronic one, and a gleet is a 
slight discharge just before urinating, or may be 
only on rising in the morning. It will sometimes 
be so slight, that the lips of the urethra or meatus 
are glued or stuck together. This is often the case, 
when a stricture has formed. Chordee may con- 
tinue for a long time after the original disease is 
entirely eradicated, unless it is also removed by the 
proper treatment. It is a very usual occurrence 
for me to cure patients who have been under treat- 
ment for even twenty years, yet m nineteen cases 
out of every twenty, I can cure them in two days, 
and often one. 


This concludes what I have to say upon Gon 
orrhoea in the male, except a few words upon 
Gonorrhoeal Rheumatism, and Sore Eyes. 

It is a most remarkable fact — and one, the solu- 
tion of which is far from being clear, or satisfac- 
tory — that a person who has been affected with 
Gonorrhoea, for only a few weeks even, will often 
suffer from Rheumatism and Sore Eyes. And what 
is more remarkable than that which I have just 
stated, is, that the only successful treatment for 
this sort of constitutional or sympathetic disease, is 
the same, as the one I adopt in curing constitu- 
tional Syphilis. The rheumatic affection, will very 
often continue for a long time after the local one 
has been cured. When the eyes are inoculated 
with the gonorrhoeal virus, the rapidity and violence 
of the disease will destroy them in twenty-four 
hours even, if an heroically prompt treatment is not 
at once adopted. 


This affection is scarcely different — except in a 
few particulars — in its effects and symptoms in the 
female than in the male. As the female organs of 
generation are directly opposite in construction in 
the sense that they are calculated to receive the 
male organ, the capacity alone, renders the symp- 
toms and suffering from gonorrhoea in the female 
much less urgent and less severe. 

In fact, a female may have a discharge and even 
a gonorrhoea, and know nothing of its existence 
except from the stains found upon her linen. 

The usual symptoms, are heat, uneasiness, dis- 
charge, and sometimes, but not always, smarting 
while (micturating) making water. 


As the disease is purely local, the general sys- 
tem is but little affected. The spirits and digestion 
may flag for a time, and the internal lips may be 
swollen, red and painful; but no difficulty will 
attend passing the water. On opening the inner 
lips, (nymphge,) a thick yellow, or greenish-yellow 
matter will be observed issuing from the parts. 
When, however, the disease is situated in the 
urethra, there will be some pain in passing urine, 
but not so severe as in the opposite sex, for the 
canal is short and much larger. 

When the gonorrhoea is deep in the vagina, or iu 
the uterus, (womb,) the cure is not so rapid, (in 
fact, is sometimes almost incurable,) as when less 
deep, or in the urethra. Frequent injections of 
water, to thoroughly cleanse the parts, is of the 
utmost importance. The female syringe should be 
of medium size, and bent at an obtuse angle, to 
enable the patient to use it herself. The injection 
should be gently thrown into the vagina; the beak 
of the instrument having been passed two or three 
inches, while the patient is in a bath, or on the 
edge of a seat. To retain it a few minutes, it will 
be necessary to lay upon the back with the hips 
slightly elevated. 

When the affection is in the outer portion of the 
vagina, dry lint, or soft linen cloth may be passed 
into the canal after injections have been used, to 
keep the irritated and inflamed surfaces apart, 
which will have a salutary effect. 

In deep-seated inflammation of the inner lips, or 
uymphse, suppuration will sometimes take place. 
The matter which forms, will produce a large and 
painful swelling of the part. 



Under this head I shall treat of all simple abra- 
sions, fretting or chafing of the organs of genera- 
tion in both sexes. 

Excoriation, and little water, or other pimples 
are very common in some persons. They are 
caused by gonorrhoea or syphilis, not having been 
thoroughly eradicated — an irritation in the ure- 
thra — or by excessive sexual intercourse. It is 
more common in newly married. people, and they 
should regard it as a kind warning against a too 
free indulgence in the pleasures of the honey-moon, 
by that prudent old matron, Dame Nature. For 
those who heed not, shall suffer the penalty of her 
stern laws. 


Stricture is a common result of gleet, or a gonor- 
rhoea, long continued. 

A stricture is a lessening of the natural size of 
the urethra. 

Sir Astley Cooper's classification of strictures has 
been followed by most of the eminent surgical 
writers since his clay, viz. : — the Permanent, the 
Spasmodic, and the Inflammatory. 


Sir Benjamin Brodie has so graphically and cor- 
rectly described this form of the complaint, that I 
shall quote his own words : " A man who is other- 
wise healthy, voids his urine one day in a full stream. 
On the following day, perhaps, he is exposed to cold 


and damp ; or he dines out, and forgets, amid the 
company of his friends, the quantity of champaigne, 
or punch, or other liquor, containing a combination 
of alcohol with a vegetable acid, which he drinks. 
On the next morning he finds himself unable to 
void his urine. If you send him to bed, apply 
warmth, and give him Dover's powder; it is not 
improbable that in the course of a few hours the 
urine will begin to flow. After the lapse of a few 
more hours you give him a draught of infusion 
of senna and sulphate of magnesia, and when this 
has acted on the bowels, he makes water in a full 

As the affection is purely a local one, general 
treatment cannot be relied on too much, as no time 
should be lost. The emergency in such cases are 
great, and require prompt and efficient action. 

Under all such . circumstances, I advise that a 
physician should be called if practicable. The 
object and aim of these pages is not to discourage 
or depreciate the services of physicians, but, on the 
contrary, to elevate the standard of the profession 
in the estimation of the public, and particularly 
with that unfortunate class who may have fallen 
into the greedy grasp of medical vultures, whose 
scent for gold is prodigious and unerring. 


This form of stricture arises usually in the acute 
stage of Gonorrhoea, or from the improper violence 
in the use of the catheter or bougie. The symptoms 
are fever, pain, and inability to make water. 
Should a few drops escape, the torture is intense. 

Leeches to the groin may be necessary, but 


asually a free use of the infusion of salts and ser.iia, 
and a warm, sitting bath, will give relief in a few 
hours. After the water flows, barley water, gum- 
arabic water, flax-seed tea, are all that will be 
required. Instruments must be avoided. 

Young men are almost the exclusive subjects of 
this form of stricture. 

The frequency of the attack will depend very 
much upon the irritable condition of the system. 
The difficulty is a spasm of the urethra near the 
bladder, and sometimes the suddenness of the attack 
and the severity of the symptoms are extremely 
alarming to the poor sufferer and his surrounding 
friends. The simple form which Sir Benjamin has 
60 beautifully described, and which we have just 
quoted, may become greatly aggravated and require 
further treatment. 

The desire to make water occurs without the 
ability to accomplish it. After several unsuccessful 
attempts, the patient becomes alarmed — he now 
suffers great distress in the region of the bladder, 
and not unfrequently pain is felt in the end of the 
penis. The efforts to make water are now constant 
and beyond his control, the muscles of the abdomen 
contract violently, and the restlessness and con- 
tortions of the body from pain, are agonizing to 
behold. The face is flushed, the tongue coated with 
a white fur, the pulse hard and bounding, the skin 
hot, and the countenance of the patient is indicative 
of the most excruciating suffering 


Iu the present form under consideration, it will 
be borne in mind, is found that unpleasant difficulty 


which is generally understood by the common term 

It is usually the result of chronic gonorrhoea, but 
may occur from any other inflammation, or from 
injury. It is quite common in cases of seminal 

This form of stricture may depend upon an 
alteration of the surface of the mucous membrane, 
of the narrow canal or urethra, or upon a thickening 
of that membrane : in either case there exists a 
mechanical obstacle to the passage of the urine. 

It is unnecessary to enumerate, in a popular 
work like this, the various alterations of stricture, 
from ulceration, fungus or warty excrescences, etc., 
as it will be of but little practical value to the 
unprofessional reader. 

The situation of Stricture is more commonly met 
with in the membranous and bulbous portions of the 
canal, near the neck of the bladder; but any part 
of the urethra may be their seat. 

The accompanying cuts will give a correct idea 
of Strictures, although they are generally more 


Persons may have Stricture for a long time if 
they are inattentive, or ignorant of the earlier 
symptoms of its incipient stage. The water passes 
with less freedom, than natural, and finally the 
stream becomes smaller and smaller, and spirts 
out in several spiral or cork-screw streams, soiling 
the clothes or dropping upon the feet of the patient 
drop by drop, requiring time and patience to evacu- 
ate the bladder. Sometimes persons have no 


control over their hydraulic powers, there being an 
almost constant dribbling away of water. 

In chronic bad cases, the prostate gland, neck 
of the bladder, ureters and kidneys, become in- 
flamed, ulcerated or gangrened, gravel and stone 
will be formed, and the rest of his short life be 
almost intolerable. The prostate gland will sup- 
purate, and it has long been observed, (and I have 
cured many such cases,) in bad cases of stricture, 
the urethra becomes so impervious during erection, 
that the sperm cannot be ejaculated, but escapes 
with the urine when the penis is flaccid. 

Gleet may be the only symptom of stricture; 
therefore it often leads one to the cause of a long 
continued running, which may assume all the ap- 
pearance, at times, of genuine clap. Sometimes, 
nothing but little shreds of mucous is discharged 
resembling, by the magnifying powers of a hypo- 
chondriacal imagination, vermicelli or worms. 

This bug-bear is held up in silly and injurious 
books, to frighten patients to apply to the quacks, 
who practices copious depletion of the Purse; and 
the practice is wonder/ully efficacious, allaying all 
apprehension of the devouring propensities of these 

M. Ricord, a French Surgeon of great eminence 
on Venereal and Genito-Urinary Diseases, says, 
" I am well aware, that strictures are often more 
quickly cured in proportion as they are early 
treated." But I have permanently relieved strict- 
tures which had existed for ten to twenty years, in 
nearly as many minutes. 

The practice of allowing instruments to remain 
in the bladder during the night, as well as their 
frequent use, are not only unnecessary, but exceed- 


ingly mischievous. I am often consulted by per- 
sons who have pursued such a pernicious course of 
treatment, who labor under all the distressing 
symptoms of irritation of the neck of the bladder, 
or from chronic inflammation of the prostate gland 
and bladder. 

I shall not go into a discussion of the pathologi 
cal results of the treatment of stricture by the use 
of the bougie. 

It has been my design from the first time I put 
my pen to paper in view of writing a practical 
treaties, to avoid enticing indulgence in theories 
and vain speculation. 

The genius of the age, is practical, and especially 
so in this Yankee part of Christendom, when all 
the elements and nature are whipped into the traces, 
and guided by the practical hand in the race of 
wind, steam and lightning. Truly, the awful thun- 
der-bolts of heaven have been tamed, and are 
being sent at will, by the commands of the humble 
creature, man. 


Symptoms. — Those who labor under disease of the 
prostate gland, experience uncomfortable or painful 
sensations in the affected parts, or in the space 
between the scrotum and anus, or near the margin 
of the latter, which vary in different individuals, 
and the extent of the disease. The symptoms are 
increased during the evacuation of the bowels, or 
urine, also after exertion on foot or horseback, or 
vehicle riding. The sufferer experiences frequent 
and urgent desire to urinate, which is often felt so 
suddenly that it is irresistible; he will feel more or 
less pain near the neck of the bladder, particularly 


at the commencement and termination of the flow 
of urine. He will feel as though there was more 
urine coming out, but he will not see it till after 
the penis becomes pendant. 

Such cases are extremely common in aged men, 
or those who have abused the sexual function. 
The patients often suffer from Stricture, or some- 
times almost obliteration of the urethra, within an 
inch or so of the prostate. I have cured many 
patients of this complaint. 

Chronic Inflammation of the Neck of the 
Bladder. — It is evident that there is a close affinity 
between diseases of the prostatic portion of the 
urethra and those of the neck of the bladder. In- 
flammation of the urinary canal, may not only 
extend along its whole extent from the external 
orifice, but to the neck of the bladder, prostate 
gland, orifices of the seminal ducts, seminal recepta- 
cles, deferent ducts, and testicles, but also along the 
inner or mucous surface of the bladder, hence along 
the ureters, and from these to the kidneys. There 
are some superficially informed physicians who con- 
sider Gonorrhoea a very trifling disease, but their 
ignorance can only estimate its commonest symp- 
toms. This distressing complaint will often last a 
lifetime, as I have before stated. It often lays 
the foundation of many incurable diseases, not only 
of the genito-urinary organs, but likewise of those 
in the head, chest, and abdomen. Purulent dis- 
charges are almost always present in diseases of the 
prostate and bladder. A severe cold, excessive 
use of spirituous liquors, or too frequent coition, 
will probably be the first warning the patient will 
have of his unfortunate situation. 


I will here warn persons against the habit of re- 
taining the urine in the bladder after nature has 
exhibited, by the desire, the fact that her calls 
should be attended to, and the bladder should be 
evacuated at once. 

Irritation of the Testes. — When the testicles 
are excited or irritated, they secrete a much greater 
quantity of semen than in an ordinary condition; 
and this sperm is more watery and much less 
elaborated, and remains a shorter time in its recep- 
tacles, in which its watery parts are absorbed, 
while it is much more promptly evacuated, because 
the seminal receptacles are more sensitive to its 
excitement, and therefore more readily contract. 
This causes impotency in many men, as the penis no 
sooner touches the female genitals than the semen 
oozes out, the erection of course goes down, and 
will probably remain so for hours. And then, when 
again erected, they are subjected to the same dis- 
appointment and mortification. Hundreds of young 
and old men, newly married, have been placed in this 
horrible situation for weeks without accomplishing 
the marital duties, and then — notwithstanding their 
persevering efforts — have been obliged to apply to 
me to cure them. I have at least one or two such 
patients, always under my care. It is not necessary 
for me to ever hint at the situation of the poor 
female, who has been tantalized for such a great 
length of time, for I cannot think there is a man 
heartless enough to marry if he is aware of his 
unfortunate situation. The object of this work is 
to guard and enlighten both sexes. 

It is evident from the foregoing statements, that 
the kidneys, ureters, bladder, vesiculae seminales 

Fig. 28. 

IV. 29 

Fig. 28. The Scrotum distended to its utmost 
extent, and the position of the fluid. The Penis is 
almost always more or less drawn up, and in severe 
cases it appears drawn up so as scarcely to be per- 


and testicles, are under the influence of the same 
causes, which produce the same effect. 

Varicocele and Hydrocele. — Arise from mas- 
turbation, venereal excesses, diseases, etc. We 
often see venous enlargements of the spermatic 
cord from all such causes. Circocele and Varicocele 
generally occur from the adult to old age, from these 

Diseases of the Kidneys and Ureters. — The 
same excesses will disease these organs. 

Infiltration of Urine, caused by stricture or 
inflammation, will soon destroy the Testes, Scrotum, 
and Penis, and, of course, terminate in death. 

Hemorrhoidal and other circum-anal diseases arise 
from the same causes. 

Irritation of the Vagina and Uterus frequently 
causes Sterility, Schirrus, and Cancer occasionally. 
Venereal excesses of whatever kind will produce 
Uterine Hemorrhage. 

Vegetations. — The urethra and vaginal discharge 
is so acrid in many cases as to excoriate the labia, 
and to give rise to excrescences or vegetations, 
which sometimes is succeeded by ulceration or 

Phymosis and Paraphymosis. — When the pre- 
puce is inflamed and swollen, so that it cannot be 
drawn behind the glans penis, the disease is termed 
Phymosis ; and when this part, after it has been 
drawn behind the glans, and cannot be drawn over 
it, the disease is called Paraphymosis. In either 
case, there is danger of inflammation, sloughing 
^mortification), and more or less destruction of the 


penis. In cases of phyrnosis, when the glans can- 
not be uncovered, the internal membrane of the 
prepuce becomes inflamed from the accumulation 
of the natural secretion, or from the acrid matter 
of chancres, or urethritis, and an artificial opening 
may be caused by ulceration. 

There is natural or congenital phyrnosis, which 
impedes the urine; also in adults, compressing the 
glans, (head of penis,) during erection, thereby 
preventing proper sexual commerce. In case the 
contraction of the prepuce is so small as to obstruct 
the evacuation of urine, after it has escaped from 
the urethra, irritation, inflammation, or sloughing, 
will ensue. Cases of rapid sloughing, and destruc- 
tion of the penis in aged and other persons, are 
quite frequent. All persons thus affected, should 
immediately apply for proper treatment. I relieve 
many such persons, in a simple manner, without 
leaving any traces of their former trouble very 
quickly, so that in a day or two they are well. 

Enlargement of the Epididymus and Spermatic 
Cord. — This disease often follows inflammation of 
the testicle, and may impede the transmission of the 
semen to its proper receptacles. 

Syphilis. — History of the Symptoms of Vene- 
real Diseases. — I have already stated that vene- 
real diseases are divided into two orders; to the 
first, I have sufficiently directed the attention of 
my readers. There remains, however, the second 
division, which is vastly of more importance, if con- 
sidered in relation to the general and constitutional 
results, which are the direct consequence of the 
primary affection. 

PLATE 15. 

Fig 30 „ 

feL, Fia 31 

I'to 32 



Syphilis is a virulent affection, the essential 
character of which is its dependence upon a special 
cause, or a distinct virus. The first stage includes 
primary symptoms, as Chancre, (a pimple or ulcer,) 
the specific cause, from the special virus or poisouous 
matter which has been deposited. The second stage 
embraces constitutional symptoms, which follow as a 
consequence of absorption of the virus, and which is 
hereditary, and in my opinion capable of transmis- 
sion by inoculation. Example, various affections 
of the skin, and mucous membranes, Enlargement 
of the Glands, Scrofula, etc. The third stage com- 
prehends Tertiary symptoms, which can be trans- 
mitted, and is hereditary. This is the stage that 
principally affects the bones. 

The destructive effects of the Venereal Disease is 
becoming so generally known, that it is unneces- 
sary to describe them minutely, though there are 
many persons even ,yet, who do not estimate the 
full extent of their direful consequences on health, 
reproduction, and longevity. A close and exten- 
sive observation in different institutions, established 
for the cure of venereal diseases, as well as a very 
extensive private practice for many years, has 
enabled me to bring the treatment of the various 
forms of these formidable maladies, almost to per- 
fection. My present purpose is not to give a 
minute account of all the ravages of these horribly 
disgusting and malignant complaints, I shall con- 
fine myself, therefore, to a few general remarks on 
their primary and constitutional effects on the 
human body, in the different conditions of life. 

• Primary Symptoms. — The first appearance of 
Syphilis, is a small vesicle on the glans, prepuce, or 


other part of the penis and testicles of the male, or 
on the labia, vagina, or uterus, of the female. This 
is called a Chancre. It arises from the application 
of the syphilitic virus, on a delicate or abrased sur- 
face, from which it is speedily absorbed, in the same 
manner as the virus of a rabid animal, the virus of 
small-pox, or of vaccination — only not in so rapid 
a manner— is conveyed into the body. The whole 
system becomes sooner or later infected, and a vast 
number of diseases are developed. Amongst these 
are Buboes or Venereal Swellings of the glands of 
the groin, ulceration of the throat, a vast number 
of cutaneous eruptions, which at first are generally 
of a copper color, though they may assume the 
natural appearances of ordinary skin diseases. 
These symptoms are accompanied or succeeded by 
pains of the shin aud other long bones, as the arms, 
and even the bones of the head, which are greatly 
aggravated at night, (I now have two patients that 
were so situated,) so as to prevent sleep, destroy 
the appetite and general health, and are often fol- 
lowed by inflammation and swelling of some por- 
tions of the periosteum, most commonly on the tibia 
or shin, instep, back, or palm of the hand. Bones 
thus affected are termed Nodes. 

In numerous cases there is partial or total des- 
truction by ulceration of the virile members, and 
of the female genitals, of the palate, cartilages of 
the nose, warts, vegetations or excrescences on the 
glans penis, or labia pudendi, various abscesses, 
pustules and fissures in different parts of the body; 
there are nervous, neuralgic and rheumatic pains, 
falling off of the hair, phthisis, and very frequently 
death closes the scene. Vision is often destroyed 
by the form of ophthalmia, (iritis,) there are severe 


PLATE 16. 
35. 36. 







pains in the bones, enlargement termed exostosis, 
and sometimes caries or mortification, and at other 
times, •brittleness of the bones, which cause them to 
fracture on the slightest occasion. 

The ravages of Syphilis are often hideous, and 
when the destruction has become extensive, is some- 
times incurable. In other cases, supposed to be 
cured, the disease remains latent in the constitution 
for many years, is transmitted to the offspring, or 
destroys the foetus in the womb. Sometimes it 
causes sterility. We often observe this disease in- 
ducing infecuudity and death. In some cases, there 
is ulceration of the parts, between the bladder and 
vagina, and the latter and rectum, so that the urine 
and fceces are evacuated through the vagina, form- 
ing a most loathsome and painful disease. 

When the venereal contamination of either pa- 
rent is very considerable, though not apparent, the 
infant will be born dead, between the seventh and 
eighth month, in a state of putrefaction. It often 
happens that women have six or eight infants in 
rapid succession, which are born dead and decom- 
posed, in consequence of partially cured syphilis in 
the father. A man who has no external sign of 
syphilis, and who has been declared cured by bis 
physician, and advised to marry, may contaminate 
his wife and offspring in various degrees, so that his 
infant may be born feeble, or covered around the 
genitals or mouth with red or dark copper-colored 
eruption. This may appear soon after birth. In 
primary syphilis of the mother, the infant will be 
liable to come in contact with the venereal sore, 
which would cause a chancre on the lip, eye, etc. 
A sore on the lip of the infant would infect the 
nipple of a healthy woman, who would then infect 


every one touching it. Gonorrhoeal ophthalmia, 
will 'be contracted by the infant during its nativity 
— if the mother is infected — and will lose its- sight 
in a few days unless proper and prompt treatment 
is adopted. 

A female can, and should be cured of gonorrhoea 
when pregnant, so that the infant will not be 
affected, (I now have a case of the kind,) but tht 
foetus cannot be purified of hereditary syphilis. 
The mother, however, should be treated without 

A man may be relieved of a gonorrhoea, and be 
affected in no other way, excepting a slight gleet, 
or a thin watery discharge from the urethra, for 
years, but if he gets married or cohabits with a 
healthy woman, he will infect her. The frequency 
of venereal complaints is much greater than the pub- 
lic imagine. I very often cure boys and girls that 
have scarcely arrived at puberty even. Young and 
diffident persons often conceal their situation, until 
their disease becomes alarming, and then the suf- 
ferer will probably apply for advice to advertising 
empirics, or use quack medicines, which, in nine 
cases out of ten, allow the disease to poison or 
destroy the constitution. The proper advice should 
be sought, and medicines taken on the first appear- 
ance of the disease, if the afflicted would save 
themselves from suffering. 

Transmission of the Venereal Yirus. — The 
venereal virus may be transmitted in a few hours, 
and not in many days. When it is not absorbed at 
the time of coition, immediate washing of the parts 
will often prevent infection. I say, if it is not 
absorbed at the time of coition. What I mean by 

PLATE 17. 


this, is, that if the penis is washed before it becomes 
flaccid, (erection goes down,) infection will often be 
prevented; but, if the poisonous matter has entered 
the little follicles or pores of the skin, which are 
opened in full erection, and close — shutting it in as 
the penis becomes flaccid — it cannot but be plain to 
every one, that it is utterly impossible then to pre- 
vent the development of the disease. The quack 
washes, therefore, to be used as an injection for the 
urethra, or external lotion, are mere humbugs, and 
worse thau useless. Wearing a covering for the 
penis, is the only thing that wiJl prevent inoculation. 
The conveyance of any venereal matter to a 
mucous surface, such as the Up, eye, nostril, anus, 
nipple, or to any part where the skin is tender or 
broken, will communicate the disease. Excoria- 
tions of the glans penis, prepuce and labia, are 
easily distinguished from chancres, and are mere 
local affections which cannot contaminate the sys- 
tem. Venereal diseases can be contracted from 
water-closets, privies, from paper or metalic money, 
washing in the same wash-dish, wiping on the same 
towel, or using the same lather-brush and razor. 
I have cured patients who contracted the disease as 
above stated. As soon as a pimple or little blister 
has formed, after an impure connexion, on any part 
of the genitals, it should be properly treated at 


When venereal ulcers or eruptions appear, after 
a primary sore, on any part of the body, as the 
face, throat, chest, back, thighs, etc., the constitu- 
tion is affected, and a judicious treatment must be 


employed at once, and continued for months after all 
symptoms have entirely disappeared. The actual 
length of time necessary to continue the use of 
medicines varies in different persons, and no one 
who is not experienced in this class of diseases can 
safely give advice regarding it. 

It is important to distinguish pseudo-syphilis 
from the real disease, which is often a very difficult 

Persons will have secondary syphilis and not 
have buboes. The symptoms of such a constitu- 
tional affection may show themselves in eight days, 
and may not in years, as I have stated. The term 
secondary is used to designate the morbid phe- 
nomena which appear on the skin, mucous mem- 
brane, eye, testicles, etc. When the skin is at first 
affected, it may appear like measles. The spots, 
however, will soon lose their rosy color, and 
assume a coppery hue, or they may disappear 
altogether. It may first appear in little pimples, 
or have a scaly appearance, or like chicken-pox, 
or the pustular form, which is generally very 
chronic in its course. This form affects the health 
more than any other. There is another variety 
which appears on the scalp. A crust is formed 
around the roots of the hair, which, as often as 
rubbed off, is reproduced by a thick viscid secre- 
tion, matting the hair together; it is usually con- 
fined to a few spots, but the whole hair becomes 
affected, loses its lustre, gets dry, falls off, and the 
patient may become bald. The glands in the neck 
may often be enlarged ; it often accompanies the 
other forms of secondary syphilis. 

The tubercular form may be little hard tumors, 
or become ulcers. It may often be seen on the 

SYPfflLis. 159 

face, nose, or at the angles of the mouth, around the 
anus, labia, groin, scrotum, lining of the prepuce, 
umbilicus, between the toes, and in the arm-pits. 
When ulcerated, it secretes an acrid matter, which 
causes irritation, and produces an offensive odor; it 
may remain stationary, or rapidly extend. 


Every portion of mucous membrane which the 
eye can observe is like the skin, subject to become 
the seat of secondary symptoms, as the lips, inside 
of the cheeks, tongue, fauces, and throat; not only 
the margin of the anus, but the inside of the intes- 
tine itself, also the lining of the prepuce. The vulva, 
vagina, and neck of the womb are also affected. 
The throat, from its functions, is frequently exposed 
to changes of temperature, and feels the effects of 
all excesses. A primary, as well as secondary 
affection of the mouth and throat, may exist. The 
symptoms of these affections, in the commencement, 
are only slight irritation or swelling, but if inflam- 
mation follows, the usual symptoms of sore-throat 
will occur, and the general symptoms may be severe. 


This is a more advanced form of syphilis than 
any we have heretofore mentioned. Most frequently 
(in shattered constitutions, or in persons reduced 
by the combined effects of dissipation and bad 
treatment) some pain is felt in the throat or tongue; 
there is a thickness of the speech, which at first excites 
but little attention, but it will soon expose a tawny- 


colored ulcer, which may expose the bone, or the 
palate-bone may be destroyed, and a communication 
exist between the mouth and nose. The whole 
back upper part of the mouth will be more or less 
affected. Not unfrequently pustular eruptions, 
forming scabs, appear on the extremities, and the 
general emaciation continues; the countenance has 
. now a cadaverous appearance, and the pulse be 
speaks the general feebleness of the patient, who, 
if not relieved by proper treatment, sinks under the 
combined effects of colliquative sweats, diarrhoea, 
great suppuration, and want of sleep, from severe 
pain in the bones and joints, and loss of appetite. 
Such is a concise sketch of the most frequent form 
of tertiary syphilitic sore-throat, with its accom- 
panying symptoms, not to be mistaken when once 
witnessed. Sometimes little hard tumors, varying 
in size from that of a pea to a hazel-nut, which, if 
not properly treated, will soon proceed so that the 
speech will be very much interfered with. 


The eye, like the skin and throat, may become 
affected by syphilis in each of its different forms — 
primary, secondary and tertiary. The importance 
of the organ, and the rapidity with which the dis- 
ease can destroy the tissues composing it, deserve 
the particular attention of the reader. 

This affection is usually ushered in by consider- 
able constitutional disturbance, headache, inability 
to sleep from constant pain over the brow, which 
is aggravated in damp weather, and in the evening. 
The eye cannot bear a strong light, and there i3 
usually more or less redness of the ball or lids. It 

PLATE 18. 

. t ~« 

Fig 46 

Fie. 47 


may appear on the eyelids in the form of ulcer 

In a case of direct inoculation of the eye by the 
primary syphilitic virus, which often happens by 
carelessness, in not keeping the hands washed clean, 
or wiping them on a cloth, which should be destroyed 
after such use. The affection will present nearly 
the same appearance and condition as a chancre on 
the genitals, only the discharge from the sore will 
rapidly spread over the whole eye, and if the 
patient is not careful while lying down or asleep, it 
will come in contact with the other eye, and both 
will be destroyed if the disease is not immediately 


Some months after the occurrence of the primary 
symptoms, the patient will complain of vague pains 
in one or both testicles, particularly felt toward 
night, and which shoot upward toward the loins. 
In some instances no pain is felt, and the patient 
is surprised at finding one or both testicles gradu- 
ally enlarging, with a very considerable inconve- 
nience from their weight. The functions of the 
organs will become impaired if the disease is not 
speedily arrested, and the correct treatment fol- 
lowed up for months, so that the disease will be 
thoroughly eradicated from the system., 


This constitutional affection is included under the 
name of Nodes, inflammation of the periosteum, 
exostosis, caries, and tubercles. Its destructions 


are principally confined to the bones. When the 
cellular tissue is affected, small tumors will first be 
observed, either isolated or occurring on various 
parts of the body. They may not be noticed much 
for some months. They may be hard' and un- 
attached to the adjacent structures. It may make 
its way to the surface, ulcerate, and then heal, but 
no sooner has one disappeared than another shows 


The first symptoms of the affection of the bones, 
consists in pain at first vague, or like rheumatism; 
they will generally become fixed to particular bones 
sooner or later, and become more severe at night. 
There are three varieties of Periostitis. 

Ostitis, shows the same preference for particular 
regions. After having existed a long time without 
giving other indications of its presence than pain, 
the swelling it ultimately gives rise to betrays it- 
self externally. In other cases it may give rise to 
parenchymatous, exostosis, or hyperostose. 

In the second part of this work will be found a 
great number of illustrative cases of all the diseases 
which have been mentioned, in the shape of certifi- 
cates of cures, and I shall pass on to that part. 

Enough, I think, has been shown to convince the 
most unthinking individual who may peruse these 
pages, of the evils and miseries induced by venereal 
abuses, excesses, and diseases. 

PLATE 19. 

% 49 


, 161 

Special Notice of Injuries Received by Patients from Inexpe- 
rienced Physicians, Quacks, and their Remedies. 

As we have but this additional page to give the 
statements of a few more patients, of the injuries 
they received from treatment they had submitted 
to previous to applying to us, we merely give 
their initials, and the most dangerous symptoms 
they were laboring under at the time of such ap- 
plication. All of them can be seen in full, at our 
offices, but of course without their names. 

November 15, 1858. — A., Georgia. I have tried this physi- 
cian, and that, using copaiba, nitrate of silver, and other 
caustics for seventeen months, till I almost despaired of be- 
ing cured. I have nocturnal emissions, contiuual burning in, 
and discharge from the urethra ; my semen is as thin as wa- 
ter, and can only partially cohabit with a woman. J. L. 0. 

October 26, 1858. — I have a continual desire to pass urine, 
and cannot retain it ; am totally unable to cohabit with a 
woman ; loose semen nights, with urine, and at stool ; I paid 
about $150 for Triesomar, but received no benefit. C. F., 
N. Y., April 3, 1858. 

W. N. B., N. Y., was treated for nine months by one of 
New York's most eminent professors without benefit, but we 
cured him in about a month. 

January 19, 1858.— R. T. B., Va., applied with nocturnal 
emissions weekly ; total paralysis of the penis ; muddy and 
shredy urine ; pain and constant desire to pass it, day and 
night ; yellowish discharge from the urethra, after using 
acids or stimulents, or with a cold ; scrotum relaxed, and 
testes swollen ; sleeplessness, giddiness, acidity of and wind 
in stomach, and bowels ; gloomy. Had been confined to the 
house a number of months, though he had been under the 
treatment of a number of the best physicians, more or less, 
for years. We cured him in a few months. 

November 30, 1857. — W. R., Iowa, came with nocturnal 
emissions every week ; weak back ; a tea-spoonful of a 
sandy looking sediment in the urine that stood over night ; 
constant desire to pass urine night and day ; partial erec- 
tions ; iritis ; had been cauterized a number of times ; cured 
by us in four months. 



Avoid all quack or advertised remedies for any disease, espe- 
cially venereal, and all of the instruments advertised to cure 
Seminal Emissions, as they are injurious quack humbugs. 

Within the past year or two, there have arisen a number of 
mushroom doctors, pretending to be from Hospitals in the dif- 
ferent cities of Europe, or students of eminent men, such as 
llicord, Acton, etc., etc., using their medicines, medicated 
bougies, rectum suppositories, etc., etc., whose injured and 
uncured patients we are curyig every week. Another caution, 
to save yourselves from imposition in our own building, be 
certain you see our No., 647 Broadway, and the silver plates 
on each side of the door, stating the " Physician's Consulting 
Rooms are on the second floor," where, upon ascending the 
stairs, as directed, you will see our names upon silver door 
plates, on the doors of the offices. 



This work has been hastily prepared, in fact, was nut 
commenced until within the last few months, except the 
cases taken from my note-book, and has been prose- 
cuted amidst the most pressing professional engage- 
ments. Notwithstanding these disadvantages, I flatter 
myself that it will answer much of its intended pur- 
poses. These purposes are, mainly — 

To place before the reflecting public as unexceptiona- 
ble a work as may be, compatible with the unpleasant 
topic treated : 

To supply a desideratum in popular medieal litera 
ture, great care has been taken to simplify the sub- 
ject in plain language, divested of technicalities and 
exceptionable phraseology : 

Avoiding everything calculated to excite the passions 
or- administer to an impure appetite for vulgar books, 
which, however, seems not to have been the aim of most 
writers on kindred subjects : 

To, finally, introduce to the family and social circles 
in a modest garb, a timely Adviser against the deplora- 
ble consequences of Onanism — that most fatal and per- 
nicious habit of youth — that dreadful scourge of hu- 
manity — that untimely Destroyer — 

" He, Hie young and strong, who cherish'd 

Noble longings for the strife, 
By the road-side fell and perish'd, 

Weary with the march of life !" 


By thus warning, I do not purpose to cast a gloom 
over the minds of sensitive sufferers, but to promise 
hope, relief and perfect restoration, even in the most un- 
happy state of extremo debility ; from my vast expe- 
rience and truly wonderful success in curing the most 
unpromising subjects of Spermatorljoea and other dis- 
eases of a private nature — 

" The miserable have no other medicine, 
But only hope." 

But it is always advisable to seek relief early, thereby 
avoiding much unnecessary suffering. 

The deplorable condition of the nervous system in- 
duced by the depressing, degrading, demoralizing and 
disorganizing habit of Self-Pollution, in so many cases, 
causes that unhappy irritability of temper, melancholy 
dejection, moroseness, and finally that intellectual imbe- 
cility which terminates in an awful wreck of the men- 
tal and physical organism. It is not the object of the 
author to paint the effects of Onanism in the deepest 
dyes, to horrify young imaginations ; but to warn — to- 
day — now — for to-morrow the shafts of disorganization 
may have been sunk too deeply into the system, ever to 
be removed by the Healing Art. 

New York, 1852. • THE AUTHOR. 



Throughout the present work, to provent too fr*. 
quent repetition, I shall use Spermatorhcea, to designate 
the disease consequent upon the habit of self-abuse ; in 
short, any undue loss of semen, from whatever cause. 

A sufficient number of cases will be inserted to illus- 
trate the various effects of Onanism upon the different 
temperaments, or the peculiarities of age, sex, or consti- 
tutional predisposition to diseased action. 

The afflicted cannot expect to obtain, from any work 
on medical subjects, a sufficient knowledge of disease, in 
its different phases, complications and results, to be able 
to treat themselves. 

From the intimate association of one organ and its 
functions with others, and from the harmony existing 
throughout the whole frame, a part of the animal 
economy, however small it may be, cannot scarcely be 
disordered without causing deranged action in other 
parts ; no modification can occur without involving in 
its changes other organs, and" disordering their functions 

Even medical men, generally, are wholly incompe- 
tent to advise and treat successfully the affection under 

It may not be egotistical for me to remark here, that 

am fully aware of the importance of the subject, and 
that, from my long and special attention exclusively Vo 
the treatment of thousands of patients afflicted with 


Spermatorhoea and other sexual complaints, and that, 
too, with the most flattering success ; that it is probably 
as well that this task was left to me by the profession. 

The public have not the least conception of the vast 
amount of suffering entailed upon humanity by the prac- 
tice of self-a-buse, and the too free indulgence of the 
baser passions. My readers, who will follow me to the 
end of this modest little volume, will be amazed at the 
sad effects of what they may have considered an innocent 

Nor should I, in the outset, hesitate to repudiate the 
pernicious conduct of quacks and low-minded men, who 
have written books purporting to be guides to the young, 
but, instead, have been inflammatory appeals to their 
passions. And not a few of these books plainly incul- 
cate immorality, for the sake of administering to the 
impure desire for bawdy books, too common among 
youth of b oth sexes. The great aim of this work, there- 
fore, is to rescue the young and ignorant from the 
frightful abyss awaiting them, if deprived of a warning 
voice. The author also deems it his duty to denounce 
the introduction of plates representing the genital organs 
of joth sexes, as improper for a popular treatise. 

If ladies and gentlemen wish to study Anatomy and 
Physiology, we refer them'to popular school-books upon 
those subjects, as a healthy and proper study for the 
most fastidious ; and not to resort to a book of bawdy, 
incorrect and intrusive plates, iu senseless and ridiculous 
books, issued as an advertising medium for Quack nos- 
trums, and, still worse, to ignorant pretenders, who set 
themselves up for Doctors. 

We here take a very important step, in warning our 
afflicted readers against applying to villainous impostors 


wha infest large cities, and who not only swindle the 
innocent patient of his money, but leaves the system a 
wreck to poisonous nostrums. 

Another reason that induced me to send out into the 
world this volume, (I am sorry to say it), is the almost 
total ignorance of the members of our most benevolent 
Profession, many of them not knowing such a disease as 
Spermatorhcea. And I do hope, for the sake of human- 
ity, the medical profession generally will not rest a 
single day, until that knowledge is obtained ; as three- 
fourths of all the chronic diseases have their origin in 

It is a deplorable fact, that young ladies, as well as 
youth of the opposite sex, are addicted to the habit of 
self-abuse to an "alarming extent. This habit frequently 
has its origin in irritation of the genitals and lower 
bowels of children, from costiveness, or from pin-worms, 
(Ascarides), which are excessively annoying to some 
children. The frequent inclination to rub or scratch the 
adjacent parts lead to the practice of Self-Pollution. 
Many instances of this character have come under my 
own observation. 

I have many times been consulted by mothers, whose 
daughters have suffered from these abuses, consequent 
»p jn irritation of the Pudendum, at tho age of puberty. 

" Mine honor's such a ring : 
My chastity 's the jewel of our house, 
Bequeathed down from many ancestors ; 
Which were the greatest obloquy in the world, 
In me to lose." 




However hopeless you may think your case, whether 
from extreme debility and prostration of your entire 
system, or from the unsuccessful treatment of the 
score or more of Physicians you unfortunately may 
have been under, or from the false delicacy that many 
of my patients tell me kept them from an earlier appli- 
cation to me, or the no less fatal idea of your over- % 
coming the disease by the advancement of age, and a 
strictly moral mind, &c, &c. ; for they one and all only 
make your case worse, and if it is an early one, from 
the cause being entirely local, it affects the entire ani- 
mal economy, and then requires general as well as local 
treatment, which I am happy to be able to say, the sci- 
ence of Medicine and great improvement in the Healing 
Art, warrants me in saying, that the most severe and 
obstinate cases, of however long duration, yields to my 
mode of treatment, as the numerous voluntarily written 
Certificates contained in the following pages, from per- 
sons of all ages and in the highest stations of life, which 
portray the difficult stages of the disease, as developed 
in the different constitutions, will fully attest. I give 
the initials only in most of the cases from delicacy, but 
the full names by their cordial permission, can be seen 
at all times in my office, as well as letters from Mem- 
bers of the Medical Profession in this and other cities. 

The letters, or names of patients, are known only to 
myself, as I have no Assistant or Students ; notwith- 
stading this, I always destroy them at the termination of 
each case. Therefore, the unfortunate can discloso their 
bleeding hearts to one secret bosom whose feeling throb 
will return that great boon, Health, for the so generously 
reposed confidence in him. 


Fig $5. 



The importance of perfectly understanding thi- 
subject of onanism — its existence from th1 
earliest period, and yet the ignorance of thj 
medical profession — impotence and sterility, a 
certain result if not cured — the effects, of 
impotency and sterility on the human race. 

Why is this an important subject 1 It is because the 
commencement of this habit is the laying the founda- 
tion of almost every organic disease, the vital system is 
subject to. Any person on a moment's reflection, will 
be convinced of the intimate relation existing between 
the Mind and the Genital Organs, and their intimate 
connection with the whole nervous system. What ren- 
ders it of more importance still, is, there is scarcely 
anything known about it, by any one but the afflicted, 
as in the early studies of medical men, they are taught 
nothing of it, and in their later years, their time is so 
fully occupied with a general practice, they have not 
the opportunity requisite for an understanding of such 
a speciality, and yet, as regards health and happiness, 
there is none that possess one-twentieth part of the im- 
portance. To convince you that I do not speakwithout 
authority, I here insert an extract from Dr. Curling'a 
remarks, when speaking of these organs : — 

" Their functions being so involved in those of other 
parts, are influenced by such peculiar causes, and are so 
dependent on and modified by particnlar events and cir- 
cumstances, that the investigation of them when disor- 
dered, necessarily becomes of a complex and difficult 
character. The product too, of these glands, is one, the 
qualities of which it is almost impossible to appreciate, 
and which during life is never afforded in a pure and 
unmixed state ; and further, taking into account the 
repugnance felt to such inquiries, it is scarcely surprising 
that the subject has been but imperfectly investigated, 

1.7 8 

and rarely treated of by the pathologist and practitioner 
Indeed, the little information we possess respecting it, 
is chiefly to be found under the head of Impotency, in 
works on medical jurisprudence, in which it is cursorily 
considered, principally in relation to points of Medico-le- 
gal interest, and scarcely at all in reference to practice." 

This certainly is the truth, and it no doubt will sur- 
prise many persons to learn, that the generality of phy- 
sicians know little or nothing of these matters. I often 
have patients who have applied to the most eminent 
physicians and surgeons, of the largest cities in the 
world, and paid them consultation-fees, to be told there 
was nothing the matter with them. It is only a few 
weeks even, since a patient came to me, and who, among 
other great men he had consulted, was Sir Benj. Brodie, 
of London, and whose directions were not to use any 
of their dirty beer, and he would be well enough ; that 
his disease was only imaginary, and if he would only 
think so, he would have no farther trouble. You can 
imagine the gentleman's feelings, as he was a strictly 
temperate man. From that time he began to despair, 
for he had lost almost all the power of the organs. 
What was more sad still, he had not the ambition nor 
desire, until he put himself under my charge. I am 
happy to say, however, that in a few weeks he was en- 
tirely in the full possession of that vigor, both of body 
and mind, which nature had formerly bestowed upon 

The statements of their individual cases by the pa- 
tients themselves, and their certificates for their cure 
by me, will be found in the subsequent chapters, ar- 
ranged under their proper heads, according to their ad- 
vanced or primary stage which they had reached, pre- 
vious to my treatment. It will be sufficient, I opine, 
to not only illustrate the want of knowledge of the 
medical profession as to the proper treatment for such 
cases, but whether my own, is not superior to that of 
any other. From the want of knowledge as heretofore 
mentioned, there is very little, if any, positive know- 
ledge of these complaints being known as distinct dis- 
eases, in that catalogue which enumerated so many 
calamities with which our ancestors were afflicted. But 
we can infer to a certainty, I think, that it did exist for 


centuries, previous to its having become known that 
it was a distinct disease, when we are made acquainted 
with a fraction only of the immense amount of suffer- 
ing, at the present time, among the modest, diffident, 
pious youth, who, unconscious and ignorant of doing 
harm-, when they first learned the practice at the semi- 
nary, academy, college, or from some of their acquaint- 
ances while at home. Josephus mentions this as a dis- 
ease, when relating the ancient purification laws of the 
.Tews. He says, " He that sheds his seed in his sleep, 
shall be privileged with those who have wives." In re- 
lation to another disease, he gives us another of their 
laws : " Those who had a Gonorrhoea, were prohibited 
from coming within the bounds of the city." 

This not only bears witness to there having been such 
a disease known at that time, but it showed their wis- 
dom was far superior to many of the pretended medi- 
cal savans of the present day ; for they adopted a regu 
lation, which they supposed would be a remedy for ah. 
such eases. 

Some have referred the origin of this abuse to the 
idolatrous worship of the northern Venus, named Fra- 
go, in oblation to whom her votaries were accustomed 
to shed their seed. The opinion of the All-wise, upon 
the enormity of this offence against reason and nature, 
will be found where he speaks of this dereliction of 
Onan, in Genesis, chapter thirty-eight, ninth and tenth 
verses : — 

" And Onan knew that the seed should not be his, 
and it came to pass, when he went in unto his brother's 
wife, that he spilled it on the ground, lest that he should 
give seed to his brother. And the thing which he did, 
displeased the Lord, wherefore he slew him also." 

It is only a few years since it was thought degrading 
for any one even to allude to masturbation, and espe- 
cially to speak openly or write about it. But as pro- 
gression is the spirit of the age, people have becomo 
more rational, and are beginning to know the practice 
is one of the most injurious, possible ; and that to bo 
able to remove the disease, it must of course be under- 
stood. As I have before stated, however, the books 
heretofore published on this subject, were entirely inad- 
missible to families. This work obviates that objection. 


and yet has entered sufficiently into the physiological 
and medical details to give a clear view of the evil. From 
the extracts which I give below, from the ancient medi- 
cal writers, the reader will be able to see how this sub- 
ject was regarded by eminent minds, in former ages. A 
number of these extracts are from M. Tissot and others. 
They are from the writings of the Fathers of Physic, 
many of whom lived centuries before Christ. Allow- 
ance must be made for the deficiency in scientific accu- 
racy, for the whole truth could not be told as it was not 

Hippocrates, the oldest and most correct observer, has 
already described the diseases produced by abusing the 
pleasures of venery, under the term of dorsal consump- 
tion. " This disease," says he, " arises from the dorsal 
portion of the spinal marrow. It principally attacks 
young married people, or the licentious. They have no 
fever, and although they eat well, they grow thin and 
waste away. They have a sensation like ants crawling 
from the head down along the spine. Whenever they 
go to stool, or evacuate their urine, a considerable quan- 
tity of very thin seminal fluid escapes from the urethra. 
They lose the power of procreation, yet often dream of 
venereal pleasures. They become very weak, and 
walking produces shortness of breath ; they have pains 
in the head, and ringing in the ears, and finally, an 
acute fever (Libiria,) supervenes, and they die." Some 
physicians have ascribed to the same cause, a disease 
which he has described in another place, and have 
termed it the second dorsal consumption of Hippocrates, 
and which has some relation to the first. But the pre- 
servation of the strength which he mentions particularly, 
seems to us a conclusive proof that this disease does not 
depend on the same cause, but seems rather to be a 
rheumatic affection. " These pleasures," says Celsus, 
in his excellent work on the preservation of health, " are 
always injurious to weak persons, and their abuses pros- 
trate the strength." 

We can find nothing more frightful than the descrip- 
tion by Areta,us, of the diseases produced by a too 
abundant evacuation of semen : " Young persons assume 
the air and the diseases of the aged ; they become 
pale, stupid, effeminate, weak, idle, and even void of 


understanding ; their bodies bend forward, their legs ar« 
weak, they have a disgust for everything, become 
fit for nothing, and many are affected with paralysis." 
In another place he mentions the abuse of these plea- 
sures as among the six causes which produce paralysis. 
Galen has seen diseases of the brain and nerves from the 
same cause, and the powers of the body impaired ; and 
he also relates that a man who was convalescent from a 
violent attack of disease, died the same night after 
coition with his wife. Pliny, the naturalist, informs us, 
that Cornelius Gallus, the old praetor, and Titus 
Etherious, a Roman knight, died in the act of copula- 
tion. Aetius says, " the stomach is deranged, all the 
body wastes, beoomos pale, dry, and the eyes sunken." 
These remarks, of the most respectable ancient writers, 
are confirmed by the moderns. 

Sanetorious, who has examined with the utmost care, 
all the causes which act on our bodies, has observed, that 
" this weakens the stomach, destroys digestion, prevents 
insensible perspiration, the derangement of which pro- 
duces such evil consequences, disposes to calculous dis- 
eases, diminishes the natural warmth, and is usually 
attended with a loss or derangement of sight." 

Lomnius, in his fine commentaries on the passages of 
Celsus, whom we have just cited, supports the remarks 
of the author by his own observations : " Frequent 
emissions of semen relax, weaken, dry, enervate the 
body, and produce numerous other evils, as apoplexies, 
lethargies, epilepsies, loss of sight, trembling paralysis, 
and all kinds of painful affections." 

One cannot read without horror, the description left 
us by Tulpius, the celebrated burgomaster and physician 
of Amsterdam : — " Not only," says he, " the spinal mar- 
row wastes, but the whole body and mind become lan- 
guid, and the patient perishes in misery. Samuel Ves- 
pertius was attacked, first with a humor upon the back 
of his neck and head ; it then passed to the spine, to the 
loins, to the lower and lateral region of the abdomen, 
and to the hips. This unhappy man was affected with so 
much pain that he was entirely disfigured, and was 
emaciated so gradually by a slow fever, that ho more 
than once asked to be relieved from his misery by 


" Nothing," says a celebrated physician of Louvaine, 
" weakens the system so much." Blancard has known 
simple gonorrhoeas, dropsies and consumptions to depend 
on this cause ; and Muys has seen a man of good age 
attacked with spontaneous gangrene of the foot, which 
he attributed to the same kind of excesses. 

_ In the Memoires des Curieux de la Nature is men- 
tioned a case of blindness, which deserves to be given at 
length. "We are ignorant," says the author, " what 
sympathy the testicles have with the body, but particu- 
larly with the eyes." 

SaJmuth has known a sensible hypochondriac to be- 
come a fool, and in another man the brain to become so 
collapsed that it was heard to rattle in the cranium, 
both from excesses in venery. I have known myself a 
man, fifty-nine years of age, who, three weeks after 
marrying a young wife, became blind, and in four 
months died. 

The too great loss of the animal spirits weakens the 
stomach, and destroys the appetite ; and nutrition not 
taking place, the action of the heart becomes more 
reeble, all parts languish, aud tho patient becomes epi- 
leptic. It is true, we are ignorant whether the animal 
spirits and the seminal fluid are the same ; but observa- 
tion shows, as we shall see hereafter, that these two 
fluids are very analogous, and that loss of the one or the 
other produces the same complaints. 

Hoffman has seen the most frightful symptoms ensue 
from the loss of semen. " After long nocturnal pollu- 
tions," says he, "the patient not only loses strength, 
becomes emaciated and pale, but the memory is im- 
paired, a continual sensation of coldness affects all the 
extremities, the sight becomes dim, the voice, harsh, and 
the whole body gradually wasted ; the sleep, disturbed 
by unpleasant dreams, does not refresh, and pains are 
felt like those produced by bruises." 

In a consultation for a young man, who, among other 
diseases produced by masturbation, was affected with 
weakness in the eyes, ho says, " 1 have seen several in- 
stances of young men, who, at mature age, when the 
body possesses all its strength, were attacked, not only 
with severe pain and redness of the eyes, but the sight 
became so feeble, that they could neither read nor 


write." He adds, " I have even seen two cases of gutth 
sereno, from the same cause." 

The history of the disorder which gave rise to this 
consultation will be read with interest : " A young man 
commenced masturbation, when fifteen years old, and 
.having indulged in it till he was twenty- three, expe- 
rienced so great feebleness in his head and eyes, that 
during the emission of semen there was severe pain in 
the latter. When he attempted to read anything, he 
had a feeling similar to that of drunkenness ; the pupil 
was extraordinarily dilated ; the eyes were exceedingly 
painful ; the eyelids very heavy, and glued together 
every night ; they were often filled with tears, and a 
whitish matter collected very abundantly in the two 
corners, which were very painful. Although he ate with 
a good appetite, still he was extremely emaciated ; and 
niter he had taken food, appeared as if drunk." 

The same author has mentioned another, case of 
,vhich he was an eye-witness, and which, we think pro- 
per to mention here: — "A young man, eighteen years 
old, who had had frequent connections with a servant 
girl, suddenly fainted, and trembled exceedingly in all 
his extremities ; his countenance was red, and his pulse 
very small. He recovered from this state at the end 
of an «hour, but continued very feeble. The same phe- 
nomena occurred very frequently with severe pain, and 
at the end of eight days there was a contraction and 
tumor in the right arm, with a pain in the elbow, which 
was always increased (luring the paroxysm. Tho dis- 
ease increased for some time, but was finally cured by 

Boerhave portrays these diseases in that masterly 
manner and with that precision which characterizes all 
his descriptions : — " Too great loss of semen produces 
weakness, debility, immobility, convulsions, emaciation, 
dryness, pains in the membranes of the brain, impairs 
the senses, particularly that of sight, gives rise to dorsal 
consumption, indolence, and to the several diseases con- 
nected with them." 

The cases narrated by this great man to his auditors 
in explaining to them this aphorism, which related 
to the different kinds of evacuations, ought not to be 
omitted : — " I havo seen," says he, " a sick man where 


the disease commenced by a lassitude and feebleness in 
the body, particularly in the loins ; it 'was accompanied 
by twitching of the tendons, periodical spasms and loss 
of flesh, so as to destroy the whole body; also pains in 
the membranes of the cerebrum, pains which the patient 
terms a dry burning, (ardeur seche), which constantly 
inflames this most noble organ. I have also seen one 
young man affected with dersal consumption. His fig- 
ure was good, and although often cautioned against in- 
dulging in these pleasures, he did not regard it, and be- 
came so deformed before death, that the layer of flesh 
which appears above the spinous processes of the lumbar 
vertebrae, entirely disappeared. The cerebrum in this 
case seemed to be consumed ; in fact, the patient seemed 
to be stupid, and became so stiff, that we have never 
seen the body so immovable from any other cause. The 
eyes are so dull that the sight is nearly lost." 

De Senac mentions in the first edition of his Essays, 
the dangers attending masturbation, and states that 
" all who indulge in this vice will be affected in the 
flower of their youth with the infirmities of age." We 
can see in the following editions why this and other 
remarks of the same character were suppressed. 

Ludwig in describing the diseases resulting from too 
frequent evacuations, does not forget that of the semen. 
Young people of both sexes, who indulge in lascivious- 
ness, ruin their health, by wasting strength which was 
designed to make them vigorous, and finally fall into 
consumption. De Gottier details the sad accidents 
arising trom this cause ; but they are too long to copy. 
We refer to the work, all those who can read the lan- 
guage in which it is written. 

Van Swieten, after quoting the description of Hippo- 
crates mentioned above, adds — " I have seen all these 
symptoms, and several others, in those unfortunate peo- 
ple who indulged in self-pollutions. I have employed 
uselessly, for three years, all the resources of medicine, 
for a young man who was diseased in consequence of 
this practice, with wandering, frightful, and general 
pains, with a sensation, sometimes of heat, and some- 
times of cold, in every part of the body, but particularly 
in theloins. Afterwards, these pains having diminished, 
his thighs and legs were so cold, that although they 


seemed of the natural temperature when touched, ht 
was constantly warming himself by the fire, even during 
the warmest days of summer. I noticed particularly all 
this — a continued rotary motion of the testicles in the 
scrotum, and the patient felt a similar motion in the 
loins." This account does not mention whether this 
unfortunate creature died in three years, or continued 
to languish some time longer, which would be more 
dreadful — he could not have recovered. 

Kloekof, in a very fine work on the diseases of the 
mind, which depend on the body, confirms by his obser- 
vations what we have already mentioned. 

If these emissions, which are sure to be the sequence 
of such a habit, continue, they at first cause a feeling of 
lassitude, sleepiness, want of ambition, hesitancy of ac- 
tion and speech, occasional and permanent, even dim- 
ness of vision, thoughts diffused, memory treacherous or 
lost, nervousness, such a3 being easily frighteued, sudden 
starts at trifling noises, want of confidence, a desire not 
to mingle in society, especially that of females, impo- 
tency and sterility, indigestion, costiveness, or diarrhoea, 
Vgenerally costiveness). Those most annoying of any- 
thing, dark spots under and around the eyes, loss of 
flesh, pain in the chest and back, weakness, (particu- 
larly of the legs), coughing, consumption, idiotc}', and 
insanity. Now, these are the results, as hundreds of my 
patients are ready to testify. 

And yet there are pseudo-philanthropists who refuse 
to advertise, to let the world know. The physician and 
surgeon, they think, has demeaned himself, by devoting 
his time to this particular practice. Grave professors 
are following the same jack-o'-lantern. That is the 
reason medical students do not have the subject even 
mentioned to them, for I have some of them my pa- 
tients, every few weeks ; but that is not all — they 
have not only left the victims to themselves, but they 
have established that hydra-headed monster, Quackery, 
and the grave is now indebted to that abandonment for 
its thousands. 

One of the results, previously mentioned, of this 
vitiated indulgence, is lmpotency. and finally sterility. 
A. person with the most circumscribed imagination, can 
easily foresee the consequent misery, certain to befall 


them, if they are so imprudent as to enter into a matri- 
monial alliance before they are cured. The broken 
heart of their unsuspecting, and, may be, too confiding 
partner, I will not say too confiding, for I have never 
met a single patient that would have entered the mar- 
riage state, if they had known what their deplorable 
situation would have caused. They would a thousand 
times have terminated their existence rather than the 
consummation of the marriage ceremony. 

I am fully convinced, that a majority of those who 
commit suicide are impelled to do so by that morbidly 
diseased state of the mind arising from the habit of mas- 
turbation, for when it has proceeded far enough to cause 
impotency and sterility, the mind is so affected, that 
reason is overpowered and replaced with the horrible 
idea that every one they meet is aware of their" com- 
plaint, therefore the desire of ridding the world of their 
presence. This is not an ideal picture, by any means, as 
forty-nine out of fifty of the afflicted can testify to its 



_ Persons of mature age have more or less experienced 
similar effects. A libertine, or sensually dissolute cha- 
racter, is a person whose mind is not activeiy employed 
in business, or close application of the mind in any pur- 
suit, but one who has been fortunate in inheriting wealth 
or a competency from their relatives or friends. If they 
have not been favored in that respect, to enable them to 
live without exertion, further than the planning of some 
sumptuous dinner, or the stimulation from liquors at 
champaigne suppers, sporting, &c., their resort is the 
The mind, excited with alcoholic drinks, or the highly 


and richly seasoned food, has full scope to anticipate 
sexual pleasures, but when the labor necessary for the 
success of business is preying on it, it only anticipates 
that rest which sleep so well affords, for I have known 
many and many a person so absorbed in some favorite 
or necessary pursuit, as to have months elapse without 
any desire for sexual indulgence, but as soon as the 
mind was at liberty again they discover their inability, 
and with the proper treatment, a full restoration. When 
the organs are in a healthy state, desire can be engen- 
dered or dissipated by mental impressions ; in fact, the 
growth and development of the organs can be accele- 
rated or retarded in a degree by the same means 

There are many persons who do not feel sexual de- 
sires until a late period of life ; the consequence is, the 
organs themselves are not only imperfectly developed, 
but the body and mind are also retarded in the same 
way. Sometimes the long suppressed feelings will re- 
ceive a sudden stimulus, from seeing some person of 
the opposite sex particularly adapted to make this de- 
sired impression upon their minds. Every person of ex- 
perience very well knows that a certain impression 
must be made on the mind, before the animal feeling is 
experienced, or the physical development takes place, 
for there are many of the opposite sex who excite dis- 
gust, and under such circumstances the certain feelings 
for enjoyment would not only not be produced, but if 
age with the necessary favorable circumstances, had not 
already caused a full development of the organs, there 
would be great danger of their ever fulfilling nature's 
intentions. This at once explains to us the reason of 
bo many of those distressing cases of indifference and 
dislike to be met with between parties, and be a partial 
aid in giving the necessary treatment. 

There are good reasons for supposing that the sexual 
instinct is materially dependent upon a particular part 
of the brain, though we are not exactly certain what 
part it is, nor whether it is a mere development of it 
that is needed, or some peculiarity of structure or or- 
ganization. It is not at all uncommon to find men per- 
fectly organized in every respect with vigorous minds, 
and with every other faculty in full play, but yet almost 
wholly destitute of desire for sexual enjoyment. In 


roost of these cases, it is true, the generative organs are 
small or inactive, yet in some they are of full develop- 
ment, healthy, and active. In such cases we can only 
account for the singular indifference exhibited, by sup- 
posing that the part of the brain which regulates the 
reproductive instinct has not had sufficient power, or 
else the senses have not been properly presented. In 
the same way, we can account for the influence of the 
brain and nervous system on the generative organs, as 
previously mentioned ; such as exhausting the nervous 
energy, if we can so speak, in thinking, or in muscular 
energy. The other functions, as well as the generative, 
are proportionally weakened. Authors are apt to be- 
come impotent, when the mind is very intently en- 
gaged on some particular subject. In the lives of sev- 
eral students, we have a further corroboration in proof 
of my assertion, as many of them have been remark- 
able for their coldness and incapacity, and particularly 
when engaged in such absorbing and abstract studies as 
Mathematics. As another instance — Sir Isaac Newton 
is said to have never known sexual ardor, though in 
every respect a perfectly formed man, and it is prob- 
able, I may say without a doubt, it was owing to his 
incessant and all-absorbing studies. 

I have the fullest proof in sustaining me in the as- 
sertion, that intense mental occupation will not only 
lessen the sexual ardor, but that it will extinguish it 
entirely. This is not a simple fact which should be so 
easily passed over — as it is of the highest medical and 
moral importance. 

The only thing required in these cases, is, an intelli- 
gent and honest physician, who will examine and find 
the real cause, and then in a sympathizing manner ex- 
plain it to the patient, administer the proper treatment, 
and the cure can be effected. But if a wrong course 
of procedure be adopted, then the evils will be con- 
firmed. It is in this, as in every thing else ; ignorance 
and concealment from the proper physician produce 
evils that only knowledge and mutual confidence can 
prevent or remove. 

Be cautious in choice of your " Doctor, Dear," 
But after that choice, abandon all fear. 



Baron Larrey gives the remarkable case of a soldier, 
which came under his own notice. He was a healthy, 
robust man, with strong propensities and epdowments, 
who had a portion of the back part of the head cut off 
by a sabre. He recovered from the wound, but lost 
the senses of sight and hearing on the right side. Pain 
was also experienced down the spine, and a peculiar 
creeping feeling in the organs, which also began to waste, 
and in fifteen days tho power was entirely lost. 

M. Lallemand also mentions a case of a French soldier, 
similarly injured, in the expedition to Algiers, who 
speedily experienced the same wasting of the organs, 
loss of power, and sexual desire. 

In the American Journal of the Medical Sciences, for 
February, 1839, Dr. Fisher relates a curious instance 
of a gentleman injured in a railway car. He was look- 
ing out of the window at the moment when the collision 
occurred, and the shock threw his head against the 
edge of it, striking the back of it with such force as to 
stun him ; he, however, recovered his senses, and was 
taken home, but suffered great pain in the back part of 
the head and top of the neck. His right arm was be- 
numbed a little, and some difficulty was experienced in 
passing the urine ; but in two weeks he was able to 
walk out with no other inconvenience than a slight dim- 
ness of sight. About the fifth week he discovered that 
ho was impotent, and had lost all sexual desire. The 
means used to restore his genital powers were only par- 
tially successful, nor was his memory so perfect as be- 
fore, but all the other difficulties disappeared under the 
proper treatment. 

In the Lancet, for August, 1841, is an account of a 
medical student who received a blow on the face, in a 
quarrel, which knocked him down, so that he fell on 
the back of his head. He was totally unconscious for 
eight or ten hours, but gradually recovered, and on tho 
following day even resumed his studies, which he con- 


tinued unremittingly for the next six weeks. He, how- 
ever, became exceedingly irritable, with a feeling of 
general uneasiness, and after the first week, he observed 
the genital organs begin to waste and the desire to 
grow less, till he finally became nearly impotent, but 
afterwards recovered under proper treatment. 

Many such cases are witnessed in persons affected with 
paralysis, and other diseases, which, with the proper 
treatment, almost invariably recover. But in cases oc- 
curring from accidents as mentioned in the above eases, 
the cure is very uncertain, especially if they do not receive 
the attention proper and necessary without too much de- 
lay, for if the organs-have time to become withered, the 
vessels do not secrete, and consequently become closed. 
In such a case, recovery is impossible, for the treatment 
cannot reach the affected part. 

This brings us to the conclusion, that the strength of 
the sexual desires depends in a great measure upon the 
organs themselves ; yet there are other influences that 
may operate upon them, as we have previously shown, 
according to the various mysterious sympathies ema- 
nating from other parts. The celebrated John Hunter 
gives us an instance he met with in his own practice. ] 
have had many like it in mine. The patient was per- 
fectly incompetent for the marital duties, solely from 



When this is lost at the commencement of masturba- 
tion, it is supposed to be entirely harmless, because they 
think by such a practice, they will escape, to them, tho 
immoral and degrading vice of licentiousness, and there- 
fore by the practice of it, when their ardent, youthful 
and healthy desires are too overpowering, they think 
they are doing no more than fulfilling the behests of na- 


ture. In this idea lies the great danger, not only tf 
themselves, but their companions. This is the cause of 
its being so very prevalent and destructive, for before 
the first one of a circle of acquaintances is warned ol 
his ernor, by its effects on his former vivacity and weak- 
ness, nervousness and probably his own discovery of its 
preventing the proper development of youth, hundreds- 
may be in the same path to ruin, by its baneful effects 
on the mind, and the consequent premature decay anc 
death of its victim. The progress of course is gradual- 
first the vivacity and energy of youth is changed to list- 
less indifference ; the vigor of manhood remains no 
longer ; the peaceful content of mature life is changed to 
despondency and gloom. I have had many a patient, 
whose mental powers at the opening of the season of life 
were capable of making him (what every intellectual 
person desires,) both eminent and happy, but whose bod- 
ily health and strength being lost, the mind becomes 
shattered and almost annihilated in this vortex of de- 
struction, tempts the sufferer to end this short lived, 
but miserable existence by suicide". 

The loss of semen by Spermatorrhoea affects the in- 
dividual very differently from excessive indulgence, for 
the loss in every instance by the former, is an operation 
of, or caused by the mind, whereas, that of the latter, 
is, even in the greatest excess, from the effects of a lo- 
cality of feelings ; j'et grave authors, pretending to know 
all that can be learned of these complaints, say the ef- 
fects are much the same. It is only necessary to con- 
vince the reader of the absurdity of their assertion, by 
a moment's reflection, or, may be, to an acquaintance who 
is notoriously licentious, but still as far as appearance* 
are concerned, enjoying good health. Not, so however, 
with the Onanist, for a partial acquaintance even will 
discover the inroad that is being made on his system. 
Do not understand me as saying, that a licentious careei 
does not injure health ; far from it — but the effect is not 
the same as with the Onanist. 

An author of a work on this, and the various sexual 
diseases, divides this complaint into three different 
stages : " The first stage," he says, " is when the eom- 

fdaint is in its incipient stage, and its effects are entirely 
ocal : The second stage is when the bladder as well as 


the surrounding viscera are involved : Third, the mind 
as well as the whole system is involved." Now I am 
surprised that any surgeon who has had the advantages 
of the practice in these diseases which this gentleman, 
from the number of years he has devoted to them, must 
have had, will assert that these emissions are wholly 
a local complaint. By comparing tho seminal losses with 
venesection, the reader can form a faint idea whether 
this is a local affection or not, for, from an investigation 
of the subject, a loss of one ounce of the former is equal 
to a loss of forty ounces of the latter. 

Those persons who can see that the semen is lost are, 
generally speaking, only those whose cases are known. 
But, at least one half who suffer from this loss, are un- 
conscious of the fact, as it escapes with the urine, while 
at stool, or by gradual leakage, and these are the ones 
who saffer most, for in nearly every case they are under 
the care of physicians, who grope in the dark, and try, 
from a want of true knowledge of the case, to cure the 
effect without removing the cause. While thus laboring, 
they will treat them for liver-complaint, disease of the 
heart, indigestion, or symptoms of almost every disease 
the system is subject to. The ravages of this destruc- 
tive disease are not confined to a particular class, to age 
or condition, nor, as I think, I have satisfactorily shown, 
is it always a consequence of vicious conduct, as some 
suppose, but, on the contrary, any severe attack of sick- 
ness often causes it, so the most exemplary and virtuous 
may be the victim, for the causes of it operate on the 
healthy and strong, as on the sickly and weak, and at- 
tack the middle-aged, either married or single, of "the 
most temperate habits. Therefore the incalculable 
misery— unless this destructive pestilence is unveiled— 
that every one may know how to guard against its evils. 

As I have before stated, the genital organs are so 
intimately connected with the Test of the system, that 
the slightest derangement of them affects it, more par- 
ticularly as some parts arc in common with the Urinary; 
the Rectum also is in close juxtaposition to them, so 
that any disease that affects the genital organs is verj 
apt to disarrange all these likewise, and it is very pro- 
bable this second affair may be more severe than tho 
first one 


Diseases of the bladder, kidneys, urethra and rectum, 
are quite common, and often very distressing, while the 
causes of them remain undiscovered. In many cases 
these diseases are only symptoms — the primary trouble 
being Spermatorrhoea. To this extent is this the fact, 
that five out of every six of my patients have a disease 
of the bladder to that extent as to have worn pads, 
braces, &c. ; but as the cause is not known, of course the 
effect is not removed. 

The main cause of the genital organs exerting such an 
influence over the whole system, is their intimate con- 
nection with the nerves. As there is no process carried on 
in the body requiring so much the action of the nerves, 
as the evacuation of the semen ; that is the reason it is so 
exhaustive of the vital energy. In youth this power is 
brought in requisition, for the formation and full devel- 
opment of the genitals ; so if nature is not left free for 
this purpose, the other parts of the system are not stimu- 
lated in a sufficient manner for the perfection intended, 
and necessary for a full development of the entire sys- 
tem. This is the reason why those who are castrated 
are always imperfect in body and mind, and descend to 
the grave so early, for if these organs are removed, na- 
ture will not sufficiently concentrate itself to any one so 
as to be sufficient to stimulate the whole ; consequently, 
the development is only partial. Eunuchs are a suf- 
ficient proof; or compare a mutilated animal with one 
that is not, and it will be at once evident that the form 
of the body and the disposition are completely changed. 
Even in after life, the vital energy requisite to secrete 
properly, at the same time invigorates the system, and 
disposes it to a constant activity, that otherwise would 
not bo exhibited. Therefore, this substance is an essen- 
tial and important agent, not only for perfecting the 
body in early life, but at a later period to arouse it to 
the proper exertion. So,- 1 think, there can be no doubt 
that a deficiency or an abundance of this fluid does exert 
a most decided influoneo on the character of the indi- 
vidual. Many are dull and inactive, from a de- 
ficiency in this respect, while others are too impulsive 
and restless, from a superabundance — yet the cause is 
seldom suspected. And if this nervous energy is ex- 
hausted by emissions, its abstraction necessarily weakens 


the power of the whole system. By an extra effort na- 
ture can, for a time, supply the deficiency produced, hut 
if the excess be contiuued, this effort soon fails, and then 
the general prostration follows. Then it is the stomach 
cannot digest the food, the heart cannot, for the lack of 
power, propel the blood, nor the brain think. 

This brings us to the cause, in such cases, of dyspep- 
sia, heart diseases, fettered intellect, insanity, and the 
thousand and one other evils. It has been stated that 
the brain has been found wasted and softened, after the 
death of persons from these complaints, and I have no 
doubt that these poor victims, who are troubled with 
pain in the head, dimness of vision, loss of hearing, &c, 
the brain is constantly in a state of inflammation, or 
wasting away, and continues till they become deaf, 
blind and insane. 



The most frequent cause of Spermatorrhoea, of course, 
is the degrading habit of self-abuse ; yet a too frequent 
sexual excitement will cause it. Another cause which 
will produce these emissions is an innocent habit, which 
has, up to this time, never been mentioned by any 
writer. Many a person has been convinced that this 
disease has been caused by some excess or other ; but 
what that excess was, they were unable to tell ; but 
they attributed it, generally, to a too full indulgence of 
their sexual passions, either at an early or late period. 
One thing was oertain — they had all the misfortune of 
the masturbator, without the crime of having know- 
ingly produced them. 

Some may have become impotent — partially or wholly 
— and some may have only had the other symptoms 
accompanying Spermatorrhoea. The habit to which I 
allude, is that of only a partial connection ; that is, 
withdrawing the penis, just as the semen is about to be 


geoted, in the act of copulation. Th« reason for this £s, 
to prevent the female becoming pregnant. Why thin 
practice is injurious to the male is, because the act of 
copulation, not having been fully completed, leave* the 
organs to complete the act alone, instead of having the 
natural stimulus and excitant to the end, thereby leaving 
more or less semen in the canal and duets to ooze out 

An attack of fever and some other diseases will cause 
Spermatorrhoea, and especially, if the genital organs be- 
come inflamed, for it leaves them in a state of irritation, 
which constantly stimulates them to activity, so that 
they become entirely independent of the will, for the 
pleasurable sensations attending the emissions, during 
sleep, soon pass away, and then they begin to occur, 
without the sensation or knowledge, till awakened in 
the morning ; and finally, they take place in the day- 
time, when the bowels are moved, or the urine passed ; 
but in the most aggravated cases there is a constant 
running away of the semen, without any intermission. 
This is from a relaxation of the mouths of the seminal 
ducts. When it comes away with the urine, it is from 
an inflammation of them, which involves the bladder, 
and causes a desire oftener to pass urine than usual. 

1 very frequently have married men for patients, both 
from self-abuse at an earlier age, and which they sup- 
posed the marriage state would rid them of, which is a 
fatal idea, for it involves the misery of an unsuspecting 
person as well as their own. It is often the case, that 
Spermatorrhoea is caused by sexual excesses, and not 
using true moderation. This is a fatal error ; for they 
are liable to suffer at any time. And they are greatly 
surprised, when they find on coming to me, what the 
real trouble was. It is the same with those moral and 
religious young men, who have never been addicted to 
the practice of masturbation, yet the mature develop- 
ment and good health, will cause these dreaded emis- 
sions at night, and with the consciousness of strict rec- 
titude, they think it is a harmless occurrence, until the 
fatal error is found out too late for them to escape its 
ravages, for I can assert positively from the advantages 
of an immense practice, that an emission in this unnatu- 
ral manner is injurious. This is an important truth, 



and should be known by every one ; and it, no doubt 
will surprise the reader, because it has not before been 
known. For that very object I have published this 
little work, divested of all indelicate language, that it 
may be read in every family without any objection from 
the pure-minded female. This insuperable objection to 
all the other works, is the cause of so much ignorance, 
which for the benefit of humanity should be supplanted 
by knowledge. 

There are certain medicines that will cause this com- 
plaint, and often cause severe inflammatory complica- 
tions, and yet they are administered to prevent the diffi- 
culty ; such is especially the case with Canthaeides, 
Phosphorus, Iron, Opium, &c. 


Effects of Speematoerhce — As shown by cases from 
my own note-book, to all of which are attached their 
certificates to me, of their cure. The originals can 
be seen at my office with the full names. And I am 
not afraid to assert, that they are unprecedented. 

I will preface these cases by enumerating the effects of 
the disease, as will be seen, by reading the cases of the 
different individuals. 

Some of the first effects, are exhibited on the genitals, 
particularly those most immediately connected, such as 
the urinary organs. The irritation speedily extends 
from the duets and vas deferens to the urethra and blad- 
der, and when it is so great in the latter that it will not 
retain the least quantity of urine, it proceeds along to 
the ureters and kidneys, causing all the symptoms of 
inflammation of them, and of gravel, with great weak- 
ness, and pain in the back. Many patients come to me 
for their cure, without any idea of the real cause of all 
their suffering, for nearly all of them have been under 
the charge of physicians, who have tried in vain to alle- 
viate their condition in the least. The rectum, or largo 

PLATE 21. 

A>. 54. 

Fig. 5 3. 


Intestine is very apt to suffer, as it is in direct proximity 
to the prostate gland and seminal vesicles. I have had 
patients, with a sensation'of bearing down to that de- 
gree, that they have worn trasses and bandages, by 
the advice of physicians, to help support the bowels. 
The constant irritation and inflammation internally, soon 
causes constipation and piles ; and when the mucous coat 
ia involved, then it causes a diarrhoea, which no medica- 
tion can check, so long as the cause is not removed. A 
frequent symptom is a peculiar irritation or itching of the 
urethra and meatus-urinarious, or opening of the canal, 
sometimes little sores or pimples filled with water or 
blood will appear on the external parts. These local 
effects will soon usher in those more severe — universal 
lassitude and weakness, with a remarkafc'e loss of power 
in the legs, causing great weariness in walking, and es- 
pecially in ascending stairs, which will cause trembling, 
paleness, a fluttering or palpitation of the heart, and 
fainting indications. In time the stomach suffers, diges- 
tion is imperfect ; emaciation, and wasting away follows. 

The loss of the nervous power affects the diaphragm ; 
and then there is a difficulty of breathing, which finally 
affects the lungs. The head is not exempt from the gen- 
eral influence, and headache, rash of blood to the head, 
dizziness and drowsiness, dimness or loss of sight, is fre- 
quently observed, as if a cobweb was spread over the eye, 
which will All with water, and look red on any extra use 
of it; generally, however, the lids are more affected, which 
it is impossible to benefit until the cause is removed. The 
effect on the mind and feelings are the most marked. 
Mental activity is as difficult and unpleasant as bodily. 
They become dull, listless and moping ; the memory fails 
and the judgment weakens, so that all power of applica- 
tion is lost. The mind cannot be concentrated ; when an 
effort is made they will wake as from a dream, and find 
they have quite forgotten the subject. This, of course, 
renders them entirely unfit for business, or any close ap- 
plication, and finally degenerates into insanity. If the 
records of the failures in business, or in the seminaries, 
academies, and colleges, could all be written, the num- 
bers that were made victims from this disease would 
astonish the world. 

Moral teachings in these cases only add fuel to the 


flames. The feelings and dispositions of this class of 
persons are almost indescribable. They become melan- 
choly and sensitive to such a degree, that they will 
often shed tears at a trifling occurrence. They imagine 
themselves subjected to trials and insults that no one 
else would dream of. They will start suddenly at a 
slight noise. What makes it worse then, is an aversion 
to the opposite sex. Many of the misanthropes and 
hermits are of this kind. 

I will now pass from the more general description to 
the special ones, as presented by the cases themselves. 

In 1850, Mr. S., of New Jersey, gave me this written 
statement : — 

" I am 38 years of age. I commenced the habit of 
masturbation at the age of seven or eight. I was 
taught the practice by a female servant, and continued 
it with more or less violence, until I was married, at the 
age of twenty-seven. I several times previous to mar- 
riage, tried to leave off the practice, but found by so 
doing, I had involuntary emissions at night ; to avoid 
which, I continued the practice of it till I was married, 
hoping that would bring me all right ; but how sad were 
my feelings, and how miserable my position, when I 
found my hopes were blasted. Well, in my endeavors 
to prevent the emissions, my habits led me into exces- 
sive venery, which, in my then state of health, was 
nearly as destructive, for I unfortunately continued it 
for nearly six years, until I became so reduced, and in 
such a dreaded state of nervousness, that I tried to ab- 
stain in toto, in order to recover my strength ; but in 
doing so, the horrible emissions again commenced. I 
then tried to refrain gradually ; but that would not do. 
My situation was truly horrible, for 1 was descending 
to the grave at a rapid rate. I then applied to a dis- 
tinguished surge'on for a cure ; but his greatest efforts 
were of no benefit. I then tried another, with no better 
success ; then another, and another, with the like result. 
I then called on a surgeon, who devoted his attentiou 
entirely to this class of diseases, and who charged me a 
fee of $200. I will state farther, that you can fully un- 

20 J 

derstand my case. 1 am a complete wreek — my mind 
has long since lost its vigor, which threw my business 
into such a deranged stato, that I became involved to 
the extent that extrication was impossible — and I lost 
every dollar. I am now scarcely able to fill a clerkship, 
upon a small salary. I am very nervous, can eat only 
the most easily-digested food, am troubled with costive- 
ness, short breath, and so weak that I can scarcely ful 
fill my duties. I have been using the cold-baths daily, 
for a long time. I have tried salt-water baths, and, in 
fact, everything that I have been told or supposed 
would be a benefit to me. Now, Dear Doctor, after 
hearing of some cases that some acquaintances and 
others had experienced under your treatment, I place 
myself in your hands. And may God assist you in re- 
storing me — for this is my last and only hope." 

This gentleman's case is a simple narrative in his own 
hand-writing. His sleep was broken and restless ; he 
at times complained of vertigo, noise in the head, loss 
of sight and memory ; he also had urethral irritations, 
attended with an occasional dischargo, pains in his loins, 
and groins. Notwithstanding the early commencement 
of the habit, and its long continuance, and of his exces 
ses after marriage, I was after a persevering treatment 
of some six weeks, able to recover all of the general de- 
rangements of the system — except entirely restoring his 
digestive powers fully, in so short a time — and prevent 
the emissions entirely, except one, which took place 
within a few days of the commencement of my treat- 

This case is a fair copy of the results of those - who 
are so unfortunate as to follow the advice of those phy- 
sicians who advise marriage, when a person is laboring 
under a disease of this nature. It surprised me much, 
to find the organs so strong as they were, for it is al- 
most always the case- with these married patients, that 
they are nearly or partially impotent. 

A case resembling this very much, was Mr. M., of 
this city, who I cured about a year ago ; but he had 
been entirely impotent for four years. lie had not been 


able to discover any semen for the whole time. On my 
examining the urine, however, with my microscope, I 
discovered some in a very vitiated state mixed with it, 
although with the naked eye, it was not discernible. 
This gentleman was some ten years younger than the 
other, and had been under the charge of a number of 
physicians, without improving his condition in the least. 
They finally prevailed on him to get married ; he took 
their advice, not only to his own sorrow, but one who 
was dearer to him than life, in his then unhappy condi- 
tion, for he had deceived an over confiding and innocent 
wife, almost as soon as they were pronounced man and 
wife, for scarce six months had intervened before he 
found himself in the deplorable condition mentioned 
above. ■ 

Now, this one case I know, by being placed before tho 
public, will be the means of saving thousands from a 
similar fate, for certainly no sane person, who has over 
been addicted to any practice from which any such hor- 
rible contingency could possibly arise, will even think of 
taking so fatal a step, without consulting me or some 
other physician in whom they can trust themselves, with 
the conviction that their case cannot be in better hands. 

The next case is that of Mr. P., of this city. He is 
a young man of high intellectual power, and general 
business talents — a junior partner in a wholesale house. 
A few months previous to his placing himself under my 
charge, he had a very severe attack of gonorrhoea, with 
orchitis, which left a stricture, and of so inflammatory 
a character, that he was obliged to pass urine frequent- 
ly. His health otherwise was tolerably good. These 
were his symptoms at the time of his coming to me 
With the addition of his having been impotent for some 
time, with a very great relaxation of the scrotum, which 
allowed the left testicle to descend as much as six inches. 
I had no trouble in restoring him to health, in a short 
time, with the single exception of tho last above men- 
tioned relaxation of tho seminiferous tubes. In some 
of these cases, it is sometimes necessary to operate, in 
order to bring the scrotum back to its natural size and 


firmness. I did not do so, however, in this case ; but by 
his wearing a suspensory bandage, and using the washes 
I gave him, succeeded in nearly restoring it to its former 
firmness. I consider this diseased state of the testicle 
one of the most dangerous and intractable of all these 
complaints, for if so bad as to require an operation with 
the knife, there is great danger of the virile powers being 

I will now copy a case of M. Lallemand's — a celebrated 
French practitioner, wh* has, from his assiduous applica- 
tion to this subject, been the means of enlightening the 
world to a greater extent than any other person, of the 
importance of understanding the treatment of this dire 
disease. His treatment, however, I will mention here, is 
one that I do not approve, and of course don't adopt, as 
far, I mean, as cauterization is concerned; yet, he thinks, 
and so asserts, that out of the whole number of these 
complaints, there are two-thirds of them that cannot be 
cured, unless that treatment is adopted. In this he is in 
error, very greatly so, as will be seen in the cases of my 
own, in the succeeding pages. I have not used such 
treatment in scarcely a case ; yet the certificates for their 
cure I have in their own handwriting, as 1 have previous- 
ly stated that all the cases I publish are those for which I 
have their own certificates, and some of them had, pre- 
vious to applying to me, been treated in that way. Some 
even had submitted to cauterization, eight or ten times, 
and left worse than when they commenced. Yet the 
physicians adopt that treatment in nearly every case. 
This case confirms what I have said about married men 
suffering with the disease as well as those who are single, 
and shows how easily physicians mistake the symptoms 
for those of other affections. 

He (Lallemand) says, " In the month of January, 
1824, 1 was requested to see M. De S , who was af- 
fected with symptoms of cerebral congestion, from which 
he had suffered for some time. During several consulta- 
tions I gathered the following facts :— 

" M. De S. was born in Switzerland, of healthy pa- 
rents, and his father died suddenly of affection of the 


brain. M. De S. possessing a strong constitution and an 
active mind, received an excellent education, and at an 
early age turned his attention to the study of philosophy 
and metaphysics"; he afterwards studied moral philoso- 
phy, and politics. After having spent some years in 
Paris, pursuing his favorite subjects, he was obliged to 
undertake the management of a manufactory, and to at- 
tend to details, which wounded his pride. He became, 
by degrees, peevish and capricious, was irritated by the 
slightest contradiction — showed no pleasure at fortunate 
events — and gave way to anger on improper occasions. 
At length he appeared to feel disgust and fatigue at cor- 
respondence or mental exertion. At this period he mar- 
ried, and Dr. Butini, of Geneva, his medical attendant 
and friend, wrote respecting him, as follows : — 

" ' With this marriage, the most happy period of his 
existence seemed to commence ; but soon the germs of 
the disease, which so many causes had contributed to 
produce, became rapidly developed. It was perceived 
that M. De S. wrote slowly, and with difficulty, and his 
style presented signs of the decay of his faculties ; he 
stammered and expressed his ideas very imperfectly ; he 
experienced also, at times, attacks of vertigo, so severe 
as to make him fall, without, however, losing sensibility 
or being attacked with convulsions. One day, an attack 
which frightened the patient seriously, and left a deep 
impression on his family, came on whilst writing an ordi- 
nary letter. His medical attendants attributed this 
attack, which left a weakness of the right side of the 
body, to apoplexy. Twenty leeches were applied to the 
anus, and the danger seemed at an end. Similar at- 
tacks, however, occurred at Geneva and Montpelier, 
and several distinguished practitioners were consulted. 
Some of them, struck by the misanthropic irritability 
of the patient, and his solitary habits, regarded the af- 
fection as purely hypochondriacal, or nervous; others, 
taking into consideration his digestive disorder, consid- 
ered it an affection of the brain, such as encephalitis, or 
chronic meningitis, arising from hereditary predisposi- 
tion. This last opinion was held by Dr. Bailly, of 
Blois. At all these consultations, the necessity of ab- 
staining from serious occupation, the utility of travel- 
ing, of various amusements, and of a strict regimen ; and 


the importance of free evacuations from the bowtV, »y 
meana of purgatives and injections, were agreed en. 
Many of the practitioners recommended the frequent ap- 
plication of leeches to the anus, with milk diet, &c. ; 
others thought, that assafoedita baths, and camphor, were 
indicated. None of their modes of treatment, however, 
produced any considerable amendment; the leeches 
weakened the patient, and the milk' diet disordered his 
stomach ; his constipation continued, cold plunge-baths 
and cold effusions to the head relieved the insupportable 
spasms. M. De S. experienced great pains in his legs 
and face ; the waters of Aix, in Savoy, and the use of 
douches also appeared to produce some improvement. 
Still M. De S. became more irritable, and at the same 
time more apathetic. His attacks were more frequent 
and more violent, and he manifested greater indifference 
towards the persons and things he had before been par- 
tial to. The weakness of his limbs increased to such an 
extent, that he frequently fell, even on the most level 
ground. His nights were restless, his sleep very light, 
and often interrupted by nervous tremors, or acute pains, 
accompanied with cramp. The cerebral congestion in- 
creased, and the imminent fear of apoplexy rendered 
leeches, to the arms, venesection to the foot, tartar emetic 
ointment, blisters, mustard, pediluvia, and the applica- 
tion of ice to the head necessary. Notwithstanding 
the employment of these energetic measures, another 
violent attack of congestion occurred. I was summoned 
on this occasion, and I found the patient restless, agi- 
tated, and incapable of remaining two minutes in the 
same place ; his face was red, his eyes projected and 
fixed, his physiognomy expressed extreme dread ; his 
walk was uncertain, his legs bending under the 
weight of his body, his skin cold, and his pulse small and 

" ' The last circumstance attracted my attention, and I 
also recommended the application of leeches to the anus. 
M. De S. immediately threw himself into a violent pas- 
sion, and asserted that leeches had always weakened 
him, without giving him any relief. 1 was too much 
afraid of the occurrence of apoplexy to pay attention to 
this assertion, and I succeeded in obtaining the ap- 
plication of six leeches. The next day I found the pa- 


tient very pale, and so weak he was unable to walk — a 
source of much annoyance to him, as he manifested a 
constant desire for motion. An aedametous swelling of 
the parotid gland and of the right cheek followed, which 
was succeeded, a few days after, by a similar state of the 
left leg and foot. Sleep had become indispensable, and 
the patient was much reduced from ■want of it ; he told 
me, with tears in his eyes, that he had lost his appetite, 
and could no longer relieve his bowels. I also learned 
that he was habitually costive and flatulent ; that he 
often had recourse to injections and purgatives, in order 
to relieve his obstinate constipation ; and, lastly, that his 
walks and the evacuation of his bowels had lately be- 
come the sole objects of his thoughts and conversation. 
Having observed analogous symptoms in almost every 
person affected by diurnal pollutions, I made further in- 
quiries respecting the attack in which it was supposed the 
right side had been paralyzed, and I was soon convinced 
that the intellectual powers had been wanting, and 
not the power in the hand which held the pen ; both 
sides of the body had, in fact, retained an equal degree 
of strength.' 

" Struck by a remark of Dr. Butini, respecting the 
progress of the disease soon after marriage, I made inqui- 
ries of Madam De S., and learned that the character of 
her husband had become so uncertain and tormenting, 
that his friends thought he must be unhappy in his mar- 
riage. I then suspected that the origin of the patient's 
disease had been mistaken ; and I requested that his 
urine might be kept for my inspection. The appearance 
of the urine was sufficient to convince me that my suspi- 
cions were well founded ; it was opaque, thick, of a foetid 
and nauseous odor, resembling that of water in which 
anatomical specimens had been macerated. By pouring 
it off slowly, I obtained a flocculent cloud, like a very 
thick decoction of barley ; a gluey, ropy, greenish 
matter remained, strongly adherent to the bottom of the 
vessel, and thick globules of a yellowish, white color, 
non-adherent, like drops of pus, were mixed with 
this deposit. I was therefore convinced, that Sper- 
matorrhoea existed, together with chronic inflamma- 
tion of the prostate gland and suppuration in the 


" Notwithstanding the state of M. De S's intellect, 1 
was able, at a favorable moment, to obtain further in- 
formation : — At the age of sixteen he had contracted 
bleBnorrhagia ; this he carefully concealed, and suc- 
ceeded in curing by the use of refrigerant drinks. The 
following year the blennorrhagia returned , and was re- 
moved by astringents. Two years afterwards, from 
drinking freely of beer while heated, the discharge again 
appeared, and after some time it again returned, from the 
effects of horse-exercise. Since that time M. De S. had 
felt little sexual desire, and had abstained from inter- 
course without regret. Ejaculation during coitus had 
always been very rapid. 

" Fully convinced by combining all these circumstan- 
ces, I explained to M. De S. the nature of his disease, and 
he promised me to observe carefully. The next day he 
called me aside, and told me that the last drops of urine 
were viscid, and that during an evacuation of the bowels, 
he had passed a sufficient quantity of a similar matter to 
fill the palm of his hand. 

" Eight days after, another attack of cerebral con- 
gestion occurred, followed by stentorous breathing, cold 
skin, and an inappreciable pulse ; the patient fell into a 
kind of syncope, of which he died on the 1st of March, 

Every few weeks I have cases as nearly as possible to 
the above, and find it is the fault of the treatment used 
for the cure of the gonorrhoea — using astringent or caus- 
tic injections and such medicines as copaiba, cubebs, &c, 
Yet this treatment is still universally followed. By my 
own treatment in these cases, I find no trouble in curing 
them — in almost every instance, within twenty-four 
hours — whether they are of recent or of years' standing ; 
and I have never lost a patient, notwithstanding many 
were of the most horrible description of constitutional 
venereal affections. 

Constipation is occasionally the cause of Sperma- 
torrhoea, as I have before stated ; but very few would 
suppose, however, that it could have the efl'ect which 
sometimes follows from it. 

The next Case will convince the most skeptical — 
though it is seldom we have so severe a case — they aio 
generally pretty bad. 


" M. De B. consulted me, (says M. Lallemand), in the 
month of May, 1834, respecting a cerebral affection, on 
whose nature distinguished physicians could not agree, 
but which all regarded as very serious. 

" He was of middle height, with a large chest, and a 
well-developed muscular system, his hair brown and cur- 
ly, his beard thick, his face full and deeply colored. Not- 
withstanding these signs of apparent strength and 
health, I noticed that his knees were slightly bent, and 
that he was unable to remain long standing, without 
shifting the weight of his body from one leg to the other; 
his voice was weak and husky, the motions of his tongue 
seemed embarrassed, and he articulated his words in a 
contused manner ; his attitude was timid, and his manner 
had something of incertitude and fear"; he had been 
married fifteen days. His mother-in-law and his young 
wife, who accompanied him, informed me, that within 
this period he had had several attacks of congestion of 
the brain, during which his face was highly injected. 
At the first of these' attacks, the surgeon, called in the 
night, had bled him to the extent of three pounds, in 
order to prevent apoplexy; repeated venesection, and 
the frequent application of leeches had relieved such 
attacks of congestion, but had not prevented their re- 
currence. The patient had become subject to attacks 
of vertigo, and was unable to look upwards without 
feeling giddy ; his legs had become so weak that he had 
fallen several times, even when walking on level ground. 
His ideas had lost their clearness, and his memory failed 

" These symptoms had spread consternation through 
both the family of my patient, and that of his wife, espe- 
cially as several practitioners of reputation were agreed 
as to the existence of some serious disease of the brain, 
although they could not decide as to its nature. Most of 
them, however, were inclined to suspect ramollissement 
(softening). The countenance of the patient, during this 
recital, the coincidence of the congestion, with the period 
of his marriage, and the bad effects of blood-letting, 
made me suspect the nature of the disorder, and induced 
me to question the patient, separately. 


*' When we were alone he told me, stammering, that an 
unexpected occurrence, immediately after his marriage, 
had at first prevented any conjugal intimacy, and that 
afterwards he had found himself completely impotent. 
He attributed this misfortune to the attacks of cerebral 
congestion, and to the bleedings he had undergone. On 
further inquiry, however, I discovered that he was affected 
by diurnal pollutions. 

" The following is the history I obtained from this pa- 
tient, by dint of questioning :-jAt the age of sixteen, he 
possessed a very strong constitution and ardent and pas- 
sionate character. At school he contracted the habit of 
masturbation, and at the end of three months he had 
frequent noctuml pollutions, with pain in the chest, 
and troublesome palpitations, which warned him of the 
danger of the vice, and he renounced it forever. When 
he became free from the restraints of school, he subdued 
the ardor of his temperament, by the most violent exer- 
cises — especially that of the chase — and he attached him- 
self to agricultural pursuits, with much energy. This 
new mode of life so completely reestablished his health, 
that he was tormented by energetic and continual erec- 
tions, to subdue which he employed river baths, even in 
the coldest seasons. He never committed excesses of 
auy kind, and had never suffered from any blennorrhagic 
or syphilitic affection. In 1831, the erections were 
slightly mitigated, but he became very much constipa- 
ted, which he attributed to the constant use of horse- 
exercise. In 1832, he experienced some numbness and 
creeping sensations in his feet and legs. In 1833, fre- 
quent dazzling of sight occurred, with vertigo, difficulty 
of vision, and flushes of heat towards the head and 
face. The patient attributed all these symptoms to the 
effects of his still increasing constipation. At the same 
time that these symptoms occurred, the patient's erec- 
tions became rarer, less energetic, and, after a time, in- 
complete ; his fitness for intellectual labor diminished ; 
the cerebral congestions became more frequent and more 
severe ; his face became habitually very red. his head 
burning, and almost constant fixed pain came on 
in the orbits, and his character became fickle and contra- 

" His family physician, attributing all these disorders 


to a state of plethora, caused blood to be drawn severa. 
times, without benefit. 

" In March, 1834, M. De B. engaged himself to a young 
lady, who lived about two leagues from his estate ; and 
in order to visit her without neglecting the care of his 
property, he was obliged to make long and frequent 
journeys on horseback. Shortly before his marriage 
these journeys became so frequent that he might lie 
said to pass the greater part of his time on horseback.. 
His constipation increased*to such a degree that he 
passed forty days without fecal evacuation. During 
his efforts at stool, he passed semen in largo quantities. 
and in jets, although the penis remained, flaccid. He 
had previously several times noticed the same occur- 
rence, but as he attributed it to his long-continued conti- 
nence, he paid little attention to the circumstance. His 
urine was coustautly muddy ; it was passed slowiy and 
with difficulty, and threw down a large quantity of thick 
and flocculent deposit. 

" M. De B. awaited the period of his marriage with a 
vague uneasiness, of which he could not imagine the 
cause. He was much attached to his betrothed, but nev- 
ertheless, he experienced more embarrassment than 
pleasure in her society. 

" I have already stated what occurred aftei his mar- 
riage. I should add that, having examined his genital 
organs, I found them, contrary to my expectations, of 
unusual development ; the testicles were large and firm, 
but the scrotum was slightly relaxed. The patient ex- 
perienced a strangling in the organs, and at times felt as 
if they were compressed by a hand of iron. These sen- 
sations increased when near his wife, and the penis 
diminished in size and became retracted towards the 
pubes, in proportion as he endeavored to excite erection. 
The union of all these circumstances could not permit 
any doubt to remain on my mind as to the nature of his 
disease. It became evident that all idea of cerebral af- 
fection must be abandoned, and that the diurnal pollu- 
tions, with all the symptoms of which they were the 
cause, must be referred to the patient's constipation. 
The first indication to be fulfilled, therefore, was to re- 
lieve the constipation ; indeed, I hoped that was all 
that would be necessary. The youth of the patient, the 


development of his genital organs, and the strength of 
his constitution induced me to suppose that his cure was 
prompt and easy. Things did not, however, follow so 
simple a course. The next day, the patient began to 
sise ascending douches j and was put on a vegetable 
diet, with iced-milk. 

" The first douches caused the evacuation of an im- 
mense quantity of foecal matter in lumps, as hard as 
bullets, and it was not till after the sixth douche that 
the fceces were of normal consistence. I then caused 
the temperature of the water to be lowered to about 88° 
of Fahrenheit, and afterwards to 81". The last few 
douches were given at 68° Fahrenheit. After tha 
twelfth douche had been administered, they were omit- 
ted, the bowels having acted regularly every day, with- 
out the necessity of the slightest strainiDg. By this 
time the patient's countenance had lost its purple tint, 
and presented a more natural appearance ; the straining 
sensations of which he had complained, diminished by 
degrees, and at length disappeared entirely ; his legs 
regained their strength, and he was able to continue in 
a standing position for a long time without fatigue, and 
to take long walks without inconvenience ; his voice 
resumed its natural tone ; his eye regained its expression, 
and all his motions acquired firmness. At the expira- 
tion of a fortnight the spermatic discharges during defa- 
cation had ceased entirely ; but his urine still continued 
thick . His erections had already acquired sufficient en- 
ergy to make him believe himself cured ; but ejaculation 
took place almost immediately. The use of ice and 
cold lotions, did not ameliorate his condition. 

" Such was M. De B's state, at the end of a month, 
when, in order to act directly on the orifices of the 
ejaculatory ducts, I determined to cauterize the pros- 
tatic portion of the urethra As soon as the inflam- 
mation had subsided, his orections became more per- 
fect and energetic, yet ejaculation still took place too 

"The period for using the mineral water having ar- 
rived, I sent M. De B. to Aix, in Savoy, where I visit- 
ed him shortly after. He had experienced very little 
benefit from the uso of the waters, either exte •nally or 


" I now prescribed douches, alternately very warm 
and very cold, on the perineum and loins, the spmt be- 
ing changed when the sensation of either cold or heat 
became very intense. The bath was ended after about 
twenty or twenty-five minutes, by the cold douche, and 
the patient's skin remained highly injected for some 
hours afterwards. The effects of these douches were 
conclusive. After the first, the patient's erections ac- 
quired a degree of vigor and duration which reminded 
him of his early torments. He continued the use of the 
douches for some time after his re-establishment ; and 
when he left Aix, the functions of his genital organs 
were perfect. Ejaculation was a good deal protracted 
by the use of the douches. 

" I have entered into a somewhat lengthy detail of 
this case, because the subject affects gravely the most 
serious interests of society as well as the happiness and 
peace of families. Besides, I confess that I was much 
interested by the unhappy position of a young man 
whose misfortune was undeserved, and could not havo 
been forseen, as well as by that of his wife — a young 
woman, scarcely of age, who was obliged to enter into 
the most unpleasant details. 

" It is evident that in the case of M. De B. the con- 
stipation was the cause of the involuntary seminal dis- 
charges. The patient had practiced masturbation, it is 
true, and nocturnal emissions followed ; but he had con- 
tinued the vice only three months, and his health, though 
disordered for a short time, was soon re-established by 
the use of violent exercise. 

"M. De B. was even tormented for several years by 
erections, which must have been very energetic, if we 
judge by the means he took to subdue them. From 
this time he had never committed any kind of excess, 
and he had never suffered from either syphilis or blen- 
norrhagia. There is then no circumstance in the history 
of his life, except his constipation, which would account 
for the involuntary discharges. 

" But to what is this constipation to be referred 1 
After all I could learn from the patient concerning his 
mode of life, I could /only refer it to his constant horse 
exercise. In fact, M. De B. sometimos passed whole 
days on horseback, cither for the purpose of hunting or 


of superintending the management of his property. 
Shortly before his marriage, his rides became more 
frequent and longer, and his bowels at this time did not 
act during forty days. The weakness of his legs, tho 
stunning sensations, &c, increased ia proportion as his 
costiveuess became more confirmed. 

" This case recalls to my mind the well-known ob- 
servation of Hippocrates on the impotence of the Scy- 
thians, and I have no doubt that his opinion was found- 
ed on analogous facts. I shall treat this subject more 
fully in another place ; but since at present 1 am con- 
sidering the causes of Spermatorrhoea which act on tho 
geminal vesicles through the influence of the rectum, I 
report this striking case, showing the effects of long- 
continued horse-exorcise. 

"M. De B. was accustomed to nutritious food, and 
of a well-marked sanguineous temperament ; he had :\. 
large chest, powerful muscles, and a highly-injected 
countenance ; it is therefore by no means extraordinary 
that he should have been bled frequently for tho rolief 
of the cerebral congestions to which he was subject. On 
the night of his marriage the blood rushed to his head 
with greater force than ever, so that an attack of apo- 
plexy was much feared. The weakness of the legs, the 
frequent falls and the attacks of vertigo, were therefore 
afterward attributed to an advanced stage of disease of 
tho brain. This was a very natural opinion, but it was 
an incorrect one; I doubted it from the commencement, 
although the patient was brought to me in consequence 
of a supposed cerebral affection. I formed a different 
impression, because I had previously seen many analo- 
gous cases. 

" There existed in all these patients something pecu- 
liar in the expression of the eyes, in the position, in the 
voice, and in the general appearance ; something of 
timidity and bashfulness, which I am unablo to express, 
but which is instantly recognized by the experienced, 
although perhaps it is incapable of explanation. How- 
ever this may be, tho relation of the above case should 
draw attention to the subject. 

" I admit that venesections seemed to be clearly indi- 
cated in the case of M. De B., but the loss of blood 
r.evei produced good effects, either immediate or remote • 


and by analyzing the case carefully, his attendants 
would have seen that under this treatment the attacks 
increased in frequency. But pre-convictions throw a 
thick veil over the most acute perceptions. The as- 
cending douches put an end to the constipation ; but 
freeMom of foecal evacuation did not suffice to cure the 
disease. The semiual discharges, during the passage 
of fceces, diminished, indeed, or perhaps entirely ceased, 
but the patient's urine remained thick and muddy, and 
his erections were incomplete. The application of ice 
md of the nitrate of silver, and the use of sulphurous 
waters, were not sufficient to effect this cure ; yet there 
could not have existed any organic change in his genital 
organs. We can, therefore, only attribute the continu- 
ance of the seminal discharge, during the emptying of the 
bladder, to relaxation of the ejaculatory canals, pro- 
duced by their long habit of allowing the semen to 
escape in a passive manner — showing how necessary it 
is to put an end to the habit as early as possible." 

Every patient after reading this case, will at once see 
the injury which is caused by usirfg the mechanical in- 
struments that are advertised for sale, and warranted to 
be the only sure cure of the emissions, by preventing 
them from taking place. Such rings, by being placed 
over the penis while it is in its natural state, of course 
becomes tight and causes pain, when an erection takes 
place, thereby waking the patient ; not, however, before 
the semen leaves the ducts and reaches the canal, 
which must then either pass out entirely or recede into 
the bladder, causing all the serious affections heretofore 
witnessed in the preceding cases, as well as many more, 
in the after part of the work. I shall also there speak 
'ully on the different appliances that have been tried, as 
veil as that of the medication generally adopted. 

The next Case shows the effects of worms in the 
ectum, not only producing but keeping up Spermatorr- 
loea, and also in being the original cause of masturba- 
ion, even in young children. 

"M. K., a student of medicine, (says Lallemand), 
injoyed good health in his childhood, but about the age 


of fifteen was tormented by prolonged and frequent 
erections. One erening, for the relief of the itching of 
which the extremity of the penis was the seat, h» rubbed 
the organ violently between his hands. This led to the 
establishment of the habit of masturbation as a habit, 
or rather as a passion, the patient practicing it some- 
times as often as eight or ten times a day. Hia 
health, by degrees, became so altered that one of his 
friends suspected his practice, and told him the danger 
of his situation. B3' degrees he corrected himself, though 
not entirely, before he had attained his twentieth year. 
On his renouncing masturbation, nocturnal emissions 
supervened, and often occurred two or three times a 
night. They diminished after a time, but without 
ceasing entirely, and seminal emissions during defacation 
and the emission of urine, were added to them. Thus 
his health became more and more disordered, for nino 
years, notwithstanding absolute continence, a severe 
regimen, and the use of sedatives, tonics, and anti-spas- 
modics. At length he grew incapable of any mental 

" In 1837, he came to Montpelier, at the age of twen- 
ty-nine, in the following condition — extreme emacia- 
tion, face pale, appearance stupid, and confused, intel- 
lect dull, reasoning powers much affected, the patient 
being incapable of connecting two ideas on the most 
simple topic of conversation ; loss of memory, constant 
headache, referred to the forehead and temples, and in- 
creased by any mental excitement, being then accom- 
panied by nervous tremors, and an almost idiotic state , 
sleep broken and unrefreshing, constant sighing, frequent 
attacks of congestion of the head, especially at night, 
violent noise in the ears, resembling the sound of a water- 
fall, vertigo, stunning sensations, giving rise to a con- 
stant fear of apoplexy, timidity carried to a ridiculous 
extent, panics of fear, even during the day, character 
gloomy, taciturn, restless and irritable, horror of the 
least noise and of all society, irresistible restlessness, 
great weakness, abundant sweats after every slight ex- 
ertion, almost co.nstant coryza, frequent dry and hard 
cough, pains in the base of the chest, the region of the 
heart and along the spinal column, appetite voracious, 
dragging at the pit of the stomach, difficult digestion, 


accompanied with the development of flatus, grinding of 
the teeth during sleep, burning at the point of the 
tongue, darting pains in the bowels, especially in the 
rectum, obstinate constipation, alternating with violent 
attacks of diarrhoea, stools containing much mucus and 
sometimes streaked with blood, periodical pains at the 
margin of the anna, in the perineum, penis and testicles, 
urine passed in large quantities and very frequeutly, 
always throwing down a whitish, thick and very abun- 
dant deposit, involuntary emissions during defecation, 
both when constipated and relaxed, frequent and pro- 
longed erections, by da-y as well as by night, with con- 
stant presence of erratic ideas. 

" On sounding this patient, I found the urethra very 
sensitive, especially towards the neck of the bladder, 
and I consequently thought that the nocturnal and diur- 
nal pollutions were kept up by a state of irritation, 
arising from masturbation. I therefore proposed cau- 
terization. This was performed on the following day, 
and produced the usual immediate effects, but its cura- 
tive effects did not take place as I had anticipated. I 
then directed the patient to notice his foeces, and a few 
days afterwards he told me that he had observed nume- 
rous little worms passed in his stools. I now ordered 
enema of cold water, and salt and water, which, how- 
ever, produced only a momentary effect — probably be- 
cause the ascarides inhabited the upper part of the in- 
testine. A few doses of calomel, however, oaused them 
to disappear without returning ; and from this moment, 
the involuntary diurnal emissions ceased entirely, the 
nocturnal emissions became more and more rare, and 
the patient's re-establishment progressed very rapidly. 

" M. R. returned to his studies with ardor, and long 
afterwards all functions were perfectly we^l performed 
It appears evident that the irritation caused by the 
ascarides in the rectum, first led this patient to practice 
masturbation, and afterwards kept up invduntary sem- 
inal discharges. I did not discover this at first, because 
the history of his case, sent me by the patient, was so 
long, and was characterized by such disorder and want 
of clearness, that I was unable to arrive at any satis- 
factory conclusions from such a chaos ; his answers were 
still more vague and unconnected, so that my attention 


had been chiefly attracted to the state of his intellect 
and the abuses he had committed. But after seeing the 
little success of cauterization, and again reading his 
notes, I paid more attention to the circumstances attend- 
ing the commencement of his practicing masturbation, 
and I noticed several symptoms to which I had not be- 
fore attached importance — such as grinding of the teeth 
during sleep, burning pain in the point of the tongue, 
pain in the rectum and at the margin of the anus, the 
stools always containing mucus and sometimes being 
streaked with blood, and especially the frequency and 
durations of the erections, and the constant presence of 
erolic ideas." 

I ofteu have cases, of both sexes, where the original 
cause of the habit was traced to these little tormentors, 
and which of course, by the proper treatment, would 
have prevented all that misery and inroad upon the 
health of the person, which the result of the habit or 
loss of semen caused by their irritation, without even 
having fallen into the practice itself. Their existence 
in the rectum causes an inflammation, which* being con- 
tiguous to the seminal vesicles, produce the erotic ideas, 
as mentioned in the preceding ease. Parents should not 
only be aware of this fact, but the physician should 
make it his business to inquire particularly if any of 
these results have supervened ; if so, by their being 
treated at once in a proper manner, all farther difficul- 
ties are prevented. This one fact in itself should be 
sufficieut to convince every one, of the absurdity of at- 
tributing these complaints to immoral ideas, and that 
those afflicted would not have been so, if moral suasion 
had been taught them at the proper time. 

There is a fault of the victims themselves equally as 
great ; that is, the desire of keeping their complaint an 
entire secret. This often is the cause of the most de- 
plorable cases I meet with, for they allow themselves to 
suffer, because they dislike to consult a physician for 
such a complaint, or because they have not arrived at 
that age which enables them to command the money ne- 
cessary without their parents becoming acquainted with 
their difficulty, or sometimes even they will consult a 

Ehysician, and make a false statement of their case, 
oping be will be shrewd enough to discover the real 

• 218 

imth of the case himself. I often have fathers or mo- 
thers apply to me, in behalf of their children, who were 
so timid that they could not prevail upon them to ap- 
ply in person. The parents of course became aware 
of their complaints, by noticing the inroads made on 
their system or by watching their suspicious actions. I 
have had many a>n affecting case presented to me in 
this manner ; but I hope this little publication will 
meet the eye of those interested in time to prevent 
many such calamities. 

I am satisfied, from the advantages of a large prac- 
tice, that the tendency to Spermatorrhoea is often he- 
reditary, for 1 have had some remarkable proofs of it in 
cases of the same family, and having occurred at the 
same age. These cases have been so numerous in so 
many different families, that I have not a single doubt 
on the subject, for they have not been addicted to the 
habit of masturbation nor produced by any of tho 
other causes heretofore mentioned. Congenital pre-dis- 
positions occasionally exist, particularly in those of a 
nervous disposition, and as very few are aware of the 
fact, I will give some excellent illlustrations, of these 
kind of cases, from M. Lallemand's note-book, which 
fully confirm those in my own case-book ; which, 
though quite numerous, the following will, however, be 
sufficient to answer all purposes : — 

" In general, such patients were of a sickly constitu- 
tion and more or less marked nervous temperament ; 
they had been delicate from childhood, and subject to 
various spasmodic disorders. Some of them presented 
involuntary twitching of the muscles of the face, hesita- 
tion of the speech, &c. ; their imagination was active, 
and their moral and physical sensibility very acute. 
They were very restless, and bore contradiction or 
mental excitement badly. In childhood they presented 
local symptoms, which indicated peculiar susceptibility 
of the urinary organs, every impression of fear or anxi- 
ety showing itself in this direction. What would have 
produced shuddering or palpitation in other children, in 
them caused a secretion of clear watery urine, which 

■ 219 

they were obliged to discharge frequently , a sense of 
constriction of the hypogastrium and a sense of titilation 
generally accompanied its discharge. This condition 
of the urinary organs continued more or less severe in 
all the cases until after puberty, when it became joined 
with other symptoms. 

"One of these patients, (continues Lallemand), one 
day experienced, at the age of sixteen, a fit of irrita- 
bility and impatience, which, however, he succeeded in 
repressing ; and he then felt a sudden and impetuous 
desire of micturation ; whilst emptying his bladder he 
perceived a large quantity of pure semen discharged 
with the last drops of urine. This occurrence was the 
forerunner of nocturnal and diurnal emissions, which, 
at the age of twenty-seven, had entirely ruined his 

" Another, at the moment of competition for a college 
prize, was unable to find an expression he wanted ; at 
the same time he felt a want to make water, which he 
resisted by firmly crossing his legs ; but his impatience 
increased, and he shortly experienced an abundant 
emission without either erection or pleasure. 

_ "A third patient suffered in the same way, under 
similar circumstances ; he saw the moment approach for 
sending in his thesis ; the more he endeavored to hurry, 
the less freely his expressions flowed ; at length, on 
hearing the clock strike, he suffered from so great 
mental disorder that he nearly fainted ; at this moment 
emission took place. 

"A fourth having mounted on a gutter of a high 
house to take some sparrows' nests, looked down into the 

220 . 

court below, and was suddenly seized with such terror 
that he fainted ; on recovering and escaping from his 
dangerous situation, he found that he had had an abun- 
dant seminal pollution. 

" The same circumstances occurred to a fifth, who, in 
descending a ladder, missed his footing, and fell. 


" Another patient told me if he looked down from a 
height, or only fancied himself on th e brink of a precipice, 
he felt a sense of contraction in the genital organs, 
which passed rapidly to the base of the penis, and 
ended by causing an emission. 


" The motion of a swing produced the same effects in 
a seventh. 

" Almost all these excitable persons were exposed to 
erection, and even pollutions, whenever they rode on 
horseback. Although all these involuntary discharges 
were caused by extraordinary circumstances, I should 
not have paid much attention to them if they had not 
been followed by nocturnal and diurnal pollutions, 
which the most trifling circumstance rendered very 
serious. The disease, however, did not always put on a 
serious aspect immediately after these singular accidents , 
very often, indeed, it only injured the patient's health 
long afterwards ; but as its gravity could not be ex- 
plained by any occasional cause, I feel myself compelled 
to admit the existence of a congenital increased nervous 
susceptibility of the genito-urinary organs. Every- 
thing indicates, in fact, that the organs of these pa- 
dents were rather excitable than weak and relaxed; 
and his condition was congenital, because manifested 
from the earliest infancy. This excessive sensibility of 
the genital organs is, however, not always preceded by 
a similar condition of the urinary apparatus. 

"In all these cases, tonics and excitants always pro- 


duce bail effects ; proving the genital organs were not 
suffering from atony or weakness." 

The next Case is one of Dr. McDougall's. It ver./ 
nearly corresponds with the one from my own note • 
book, which is the first Case presented. 

"R. H., aged thirty-nine, passed the early part of hi* 
life in the country, and was in the habit of taking much 
and violent exercise. About the age of sixteen, he en- 
tered a banking establishment in London, in which by 
great diligence and steadiness of conduct, he rose before 
he was twenty-five, to the post of cashier. The affairs 
of the house fell into disorder, and ultimately a bank- 
ruptcy occurred. Mr. H., from the amount of confidence 
reposed in him by the partners of the firm, was much 
harassed by these unfortunate proceedings. Soon after- 
wards he became manager of a large mercantile estab- 
lishment in the city, and about this time commenced 
some speculation in foreign bonds. From fluctuatiom 
in the share-market, he was a loser to a considerable 
extent^ his mind was much harassed, and he began tc 
suspect those about him of dishonesty towards their em 
plovers. On investigation, these suspicions were proves 
to be totally unfounded. 

" Mr. H gave way to great violence of conduct, an« 
resigned his situation. About this time his father died 
and Mr. H. was much disappointed at finding thai 
property which he had incorrectly believed entailed, 
and consequently his, as eldest son, was left by will, ti 
be equally divided between himself and the rest of th( 
family. His conduct at this period was of the strangesi 
description. He dreaded to go out into the streets ol 
the town where his family resided, refused to join n 
their meals, and ultimately abruptly left their house ti 
return to London. 

"In 1837, his state had become such, that in conse 
quence of his repeated letters, members of his family 
visited London, and on their return, took him with them 
into Devonshire. About this time, his mental disordei 
put on a decided aspeet ; and I had then, as well as 
later, ample opportunities of observing his conduct, ana 


frequently heard bis complaints. Emissaries were con- 
stantly on the search for him, to arrest him for unnatu- 
ral crimes committed in London ; every one who met 
nim in the street, read in his countenance the crimes ho 
had committed ; tailors made the sleeves of his coats 
the wrong way of the cloth, in order to brand him with 
infamy ; the sight of a policeman in the street alarmed 
him beyond measure ; and often, if a stranger happened 
to be walking some little time in the same direction as 
himself, he would exclaim, that he was one of the emis- 
saries sent to seize him. At other times he would lock 
himself in his room, and weep by the hour. 

" He never took his meals with the family, and never 
tasted food or drink without first preserving a portion 
for chemical analysis, as he was convinced his friends 
were in a conspiracy to poison him slowly, in order to 
wipe out the memory of his crimes. These ideas 
haunted him night and day. His digestion was much 
disordered, his sleep broken and restless, and his bowels 
excessively constipated. 

" His face was flushed, and periodical attacks of cere 
bral excitement occurred, during which he complained 
of vertigo, noise in the head, loss of sight, &c. He 
complained also of loss of memory, and frequently of 
bodily weakness and lassitude. The best medical advice 
the neighborhood afforded was obtained, unavailingly ; 
the opinions of the gentlemen consulted were that Mr 
H. was laboring under aggravated hypochondriasis, 
complicated with monomania. Various causes were 
suggested as giving rise to the disorder, but no previous 
case of insanity was recollected in any branch of the 

" Mr. H. now began to talk of leaving England, for 
America, in order to avoid his persecutors ; and to pre- 
vent this he was placed under the care of a private 
keeper. While with this person, he frequently and bit- 
terly complained of constant pollutions, while at stool, 
with darting pain, and a sense of weight between the 
rectum and bladder. He had also urethral irritation, at- 
tended with discharge, pains in the loins and one 
groin, weakness of his legs, thick urine, piles and cos- 
tiveness. He kept a diary at this time, which is at 
present in my hands. Not a day is passed in this diary, 


without mention of the distressing seminal discharge* 
from which he suffered. These were treated as of no 
importance by his medical attendants, although he 
never ceased to complain of them, and solicited aid, so 
long as he continued in confinement in England. 

" When led away from his disorder into any discus 
eion on public matters, he was, however, a most amusing 
and instructive companion ; as a man of business he was 
equally acute, and to a stranger, as long as nothing was 
done to offend him, he was to all appearance, a man of 
observation and experience in life. 

" For about two years and a half he was under the 
care of various gentlemen, devoted to the insane, and at 
length he was discharged from an establishment near 
Bath, by the visiting inadistiates, as a person confined 
without duo cause. His first act was to commence legal 

Eroceedings against his friends, for his detention, and 
aving gained his action, he immediately proceeded to 
London, and waylaid and violently assaulted a gentle- 
man of high commercial standing in the city. After 
this offence, he was confined for a considerable period in 
default of bail, and immediately on his liberation, it is 
believed that he proceeded to America. 

" From this time nothing was heard of him until Sep- 
tember, 1843, when a letter was received by a gentle- 
man who formerly attended him, in which he stated that 
the same course of persecution was pursued towards him 
in America as had been followed in England. He com- 
plained of not being able to obtain efficient medical 
treatment, although he had applied to the most eminent 
practitioners in Cincinnati, and afterwards at Philadel- 
phia and New York. 

" After this, nothing more was heard of Mr. H. until 
the year 1845, when an American newspaper was for- 
warded to his friends by an unknown hand, containing 
an account of his death and of an inquest held on him, 
headed, ' Death of a Hermit in West Jersey.' It was 
stated that he had lived on a small farm, entirely alone, 
with the exception of a dog, and that he had shunned 
all intercourse with his neighbors. He was taken sud- 
denly ill, applied to a neighboring farmer for assistance, 
but died in the course of the following day. From in- 
formation subsequently obtained by his friends, it is be- 


Iieved that he died of apoplexy, or perhaps in one of the 
attacks of congestion of the brain, from which he fre- 
quently suffered before he left his native country." 

The symptoms of this unfortunate case strongly re- 
semble those of the thirty-second and fifty-sixth cases 
related by M. Lallemand, as well as my own. It was 
more aggravated, however, and presented the somewhat 
uncommon feature of the patient's discovering the fre- 
quent pollutions, and constantly complaining of them ; 
these, unfortunately, were treated as matters of no im- 

Mr. H's insanity, at first, constantly had reference to 
his having either committed or been accused of commit- 
ting, unnatural crimes ; and this idea never entirely left 
him, although during the latter part of his life, his 
many prominent hallucinations had reference to imagi- 
nary persecutors constantly watching him, a.nd endea- 
voring to ruin him, by spreading false reports, and to 
poison him by adulterating his food and infusing nox- 
ious gases into the air. There can be little doubt, on 
taking into consideration his complaints of weights be- 
tween the rectum and bladder, with darting pains, &c., 
in the same region, that the pollutions arose from irri- 
tation in the neighborhood of the prostate ; and I 
think that if at an early period of his disease, this had 
been relieved, there would have been considerable hope 
of his recovery, from the hallucinations he manifested. 

The next ease is also one of Dr. McDougall's, and is 
equally instructive, as it is almost an exact copy of a 
great many that I have at almost all times under my 
own charge. 

" The other case, to which I have alluded as par- 
ticularly attracting my attention, and which came 
under my notice about the same time, was that of a 
young man of high intellectual power and general tal- 
ents, studying medicine. This gentleman was one of 
my most constant companions, when, almost suddenly, a 
serious change came over him. He shunned society, es- 
pecially that of females ; was morose, tactiturn, and 
frequqntly shed tears ; he sat sometimes for hours in n 


kind of abstraction, on being aroused from it, could give 
no explanation of his thoughts and feelings. He con- 
stantly expressed to me his conviction that he should 
neve'r succeed in his profession, and frequently exclaimed 
that he was ruined both here and hereafter, body arid 
soul, and by his own folly. About twelve months pre- 
vious to this depression of spirits, he had a severe at- 
tack of blennorrhagia, with orchitis and phymosis. 
This left a degree of irritability in the bladder, which 
required him to pass urine frequently. His digestion' 
Vucarne so disordered that the simplest food would not 
veinain on his stomach, and he had frequent eructations 
Of fluid, which blazed like oil if spit into the fire. This 
gentleman's father was a physician, and being naturally 
anxious for his son, obtained for him the advice of many 
of the most eminent of the faculty. No improvement 
took place, however. 

" After he had been six months in this state, I had 
an opportunity of spending three weeks by the sea- side, 
and my friend accompanied me. We slept in the same 
room, and he was scarcely ever out of my sight. Before 
our return, his health was almost re-established, and 
his spirits had returned to their natural condition. 

" Twelve months later, however, he again fell into 
the same state of despondency ; and this time his condi- 
tion was much worse than on the former occasion. He 
frequently remained in bed three parts of the day, and 
no threats or entreaties on the part of his father, could 
induce him to get up. His intellectual faculties were 
totally prostrated, and a vacant stare, which took the 
place of his natural lively expression, induced consider- 
able fears of his ultimately becoming idiotic. I was the 
only person who possessed any influence over him, which 
may perhaps be attributed to his feeling that I was 
aware of the cause of his disorder. This state continued 
between three and four months, during which time I 
was with him as much as my other duties would permit, 
and frequently showed him the folly of the course he 
pursued. At the expiration of this time he gradually 
recovered. He has since had a slight relapse, once only ; 
he has pursued his professional studies with success, and 
is at present a medical officer in her Majesty's service. 

" On this case, I need not only remark, that the symp- 


toms did not arise from involuntary seminal discharges, 
but from excessive discharges, caused by abuse. The 
varied treatment recommended by the distinguished 
practitioners consulted, proved unsuccessful, because the 
origin of the disorder was unreoognized, and the reme- 
dies consequently useless while the habits of abuse were 



In addition to the effects already presented in the fore- 
going pages, it may be well to note some other symp- 
toms by which they may be known. A portion are 
frequently observed in other diseases ; then again there 
are others which peculiarly belong to this affection only, 
therefore enabling us to ascertain their existence, when 
a more positive proof is not to be obtained. 

M. Lallemand says, that " The most abundant noc- 
turnal pollutions are far from being always the most 
hurtful ; yet as they easily lose their charaoter, the 
habit alone tends to make them more and more fre- 
quent. By so doing, they of course are more injurious." 
He afterwards says, " But this state of excitement is too 
violent to last long — by degrees the organs become fa- 
tigued. Deprived of their natural functions, and, con- 
sequently, being unstrengthened by regular exercise, 
they may at last fall into a state of atony, or the sem- ■ 
inal vesicles may preserve the habit of contracting, 
under the influence of slight or indirect excitement. 
The evacuations now produce effects quite opposite to 
those experienced in the beginning. There are, on 
waking, feelings of discontent, idleness, weight in the 
head, disorder in the ideas, &c. ; but this condition 
passes off in the course of the day, and the patient is 
quite well on the following morning, if no further emis- 
sion takes place. After a time, these effects become 


more serious and lasting, and two or three days ar« 
required to remove them entirely. There" is, however, 
no disease as yet, because the economy is not as yet 
permanently disordered, but there is a degree of insta- 
bility in the patient's health, a valetudinary condition, 
the progress of which it is necessary to arrest." 

It will be seen by the above extract that M. Lalle- 
mand agrees with me in the very important particular, 
that the very first involuntary emission should at once 
warn the patient that the disagreeable sensations pro- 
duced by it, is the forerunner of the disease itself, being 
in a rapid course of full development. The dreams 
themselves, which accompany the emissions in the com- 
mencement of these cases, are often erroneously con- 
sidered as causing them, when, in fact, it is just the 
reverse — for it is the excitement primarily existing in 
the genital organs. The symptoms are very much 
worse when the discharge occurs without being accom- 
panied with the pleasurable dreams, and truly bad when 
they are disagreeable. The diurnal losses are worse 
than the nightly ones, especially if they occur spontane- 
ously or from exercise. In very bad cases they occur 
during the movement of the bowels, especially if they 
are constipated — or in a very diseased state of the parts, 
it will be lost in the passing of the urine. Gravel, and 
other affections of the surrounding organs, will cause 
sufficient irritation to produce it, and therefore should 
not be forgotten in searching for the cause. These aro 
the greatest causes of Impoteney. 

Patients who come to me, are, almost invariably, en- 
tirely ignorant of their having lost semen in this way, 
probably for years, yet when made acquainted with the 
circumstances, it is generally very easy for them to 
detect it, whether it is mixed with the urine or lost at 
the time of defecation. If with the urine there is a 
sensation of heaviness while passing — sometimes there is 
a pricking or tingling sensation — the urine looks thicker 
than usual, and, on close examination, little globules 
can be seen. The sensation is very similar when the 
escape occurs at the times of the passing of the foeces, 
and sometimes a sticky substance can be discovered 
adhering to the glans. Very often it happens that it 
flows away, after tho movement of the bowels, and the 


person suddenly discovers it when dressing ; a shock 
then occurs' which is principally felt in the pereneum 
and at the neck of the bladder. In bad cases it is very 
difficult to discover the semen in the urine, therefore it 
should be borne in mind that it never escapes at the first 
flow, but invariably with the last few drops, or after, as 
I have before stated, the bladder has been emptied. 
When there is an ulcerated prostate which discharges 
itself through the urethra, it would then require an ex- 
perienced physician to distinguish between the two, as 
that always comes away last, while in cases of Gleet, or 
a discharge from an inflammation of the urethra itself, 
the discharge is driven out, ahead of the urine, and un- 
accompanied with the sensations previously mentioned. 
Sometimes patients will have a shaking chill, pain in 
the nipple, and very often in the back of the neck or in 
the forehead, shooting pains in different parts of the 
body, and a heat around the anus. If the disease is not 
checked, the semen loses its natural appearanco entirely, 
becoming so thin that its character is totally changed. 



Persons may become impotent from various causes : 
i long continued gonorrhoea, gleet, stricture or syphilis 
will produce it as well as sterility, and if the system is 
to tainted or poisoned with syphilis as to cause the tes- 
iicles to enlarge and become indurated for anylength'ot 
time, there is danger of their functions being entirely 
destroyed. 1 have had a great many cases of this kind, 
when the testicles were as heavy and almost as hard as 
a stonp, yet, I am happy to say, I succeeded in every case 
in bringing them again to their natural state. The 
emissions destroy the powers of the genital organs, from 
general weakness, or totally changing and destroying 
the fecundating properties of the semen. It is a fact, 
that the semen, when healthy, contains animalcule*, 


J'la. 56 



and for them to become fully developed, requires the 
semen to remain a certain time in the vas deferens and 
vesicles, after it leaves the testicles, or the zoospermes 
do not become perfect. 

The exact time necessary for the semen to remain in 
the body, after being formed in the testes, is not known, 
because it varies in different individuals, and even under 
different circumstances in the sarne^erson. If the organs 
are healthy at first, they can perfect the semen more 
rapidly, and lose it often, yet it will remain healthy ; 
but if the excessive loss is continued too long, the parts 
become weakened, and of course the semen is discharged 
imperfect. That is the reason why excess, whether 
from licentiousness or involuntary emissions, is so injuri- 
ous ; for instead of the healthy animalcules which it 
should contain, there is nothing but the small unde- 
veloped granules, which can, in bad cases, be seen in 
the urine, like little shining points, or the bran-like 
grains observable at an earlier period. There are cases 
so very bad, that the semen is changed to a substance 
only a little thicker than water ; when this happens, it 
is incapable of stimulating an erection, much less im- 
pregnation. This is the reason people become impotent, 
and finally sterile ; therefore, as we know the cause, then 
the vital necessity of the invalids placing themselves 
under the care of the proper physician, and 1 am satisfied 
this book will be a guide to thousands who have been 
groping in the dark for years, till hope has almost for- 
saken them. 

I will here inform the reader, that every moment is 
precious, and no person should be indifferent to the 
slightest symptoms, and if you are young, so that you 
are not possessed of pecuniary means, you should at once 
disclose your situation to your parents, and you will not 
fail of finding the sympathy you desire. 

In a former page I mentioned a vitiated state of the 
semen that would not stimulate an erection, and that 
the person would finally become sterile. There are cases 
of persons, almost fully possessing that power, and yet 
are sterile ; the reason is, that the habits of the body 
are still vigorous enough to continue the secretion of the 
semen, but it lacks the health necessary for the perfect 
formation of the real life — the animalcules. And I at- 


tribute many supposed cases of the barrenness in females 
to this defect in their husbands. As M. Lallemand was 
the first author- who alluded to this important subject, 
his remarks should be read, at least by those who are 
interested, that they may fully understand the subject. 

" Impotence (says M. Lallemand,) is an absolute 
cause of infecundity, because it prevents the conditions ne- 
cessary to fecundation from talcing place : but although 
the act of coitus may be accomplished, it does not follow 
that the person should always be able to perpetuate his 
species. Stricture of the urethra may prove an obstacle 
to the discharge of seminal fluid ; or tho fluid may be 
directed towards the bladder or the parietes of the 
urethra, by deviation of the orifices of the ejaculatory 
ducts. The secretion may be altered in its nature ; it 
may only contain imperfect spermatozoa, &c. A man 
may, therefore, be unfruitful without being impotent 
On the other hand, I have met with many patients, 
suffering with diurnal pollutions, who had children ex- 
aeUy resembling them, even during the duration of 
their disease. Indeed, I have seen several cases in 
which the disposition to involuntary discharges were 
hereditary, and they affected both father and son. 

" The disease is, however, essentially irregular in its 
progress. It may continue long, without doing serious 
injury to the health ; long remissions may be experi- 
enced or even a perfect cessation of tho complaint, for a 
longer or shorter time. We may easily conceive, there- 
fore, that in the first degree, or during one of the periods 
of remission, fecundation may take place. When the 
disease is further advanced, however, many causes occur 
to render coitus unfruitful. Ejaculation is weak and pre- 
cipitate, so that the seminal fluid cannot be thrown into 
the cavity of the uterus ; it is not sufficient in order to fe- 
cundate, simply to spread the fluid over the vagina ; it 
must be projected with sufficient force to pass through 
the orifice of the uterine neck. Besides, in theso cases 
the erections, even when they permit sexual intercourse, 
are incomplete and of very short duration — emission takes 
place without energy and very soon. This last symp- 
tom is almost invariably present in almost all of these 
cases ; and where the parts are weakened, the semen 
will come away, without scarcely any erection of th« 


penis. But even in the most acute affections, whet fchf 
erection is sufficiently lasting to enter the vagina at all, 
it is only for a moment, before the semen is ejected. 
Both married and single persons apply to me to free 
them from this awful situation. The position and feel- 
ings of both the male and female at this juncture, 
can be more easily imagined than described, as this tan- 
talizing of the female often produces the utmost dis- 
tress. It is, therefore, easily to be seen that during such 
partial acts, the uterus and fallopian tubes have not suf- 
ficient time to experience the excitement necessary to 
carry the semen to its destination, even when it passes 
the neck of the uterus. The semen itself also under- 
goes great changes, to which perhaps the loss of the fe- 
cundating power is chiefly attributable. Microscopic 
researches have elucidated this formerly obscure sub- 
ject. I have discovered, for instance, that the sperma- 
torrhoea undergo changes similar to thoso of the fluid 
which serves as their vehicle ; these changes are exceed- 
ingly important, and are owing to defective formation. 
Spermatorrhoea may be met with in a less thick and less 
opaque fluid than natural, for they are not produced by 
the same parts or in the same manner ; but when the 
secretion is perfectly thin and watery, the functions are 
so seriously affected that the animalcules are altered ; 
they are less developed, less opaque, and less active than 
natural ; indeed, they are so transparent that peculiar 
precautions are necessary in order to make sure of see- 
ing them. Their motions are weak, slow, and cease very 
soon, and they rapidly undergo decomposition. _ All 
these characteristics show how much their texture is re- 
laxed, and how imperfectly they are organized. 

" It is evident, the least arrest of development in the 
spermatorrhoea, must prove an insurmountable obstacle 
to fecundation, even if the only function of the animal- 
cules be to carry the liquor seminis to the ovum. When, 
however, their imperfect development only arises from 
a too rapid formation, it may soon be obviated. It suf- 
fices that the involuntary discharges should cease, for 
a few days only, in consequence of some accidental 
cause or of one of the spontaneous changes of this ex- 
traordinary disease, in order tor the desires to become 
more lively, the erections more energetic and prolonged, 


»nd for the functions to b» accomplished in a nature 
manner; fecundation is, therefore, possible, as I hava 
previously stated, during the whole duration of one of 
these intermissions. This is not the case when the sper- 
matozoa are malformed, rudimentary, more or less 
deprived of tail, &c, for these changes only take place 
when there is a serious alteration in the structure of the 

" I have taken every opportunity of dissecting the testi- 
cles altered in these cases, and I have always found the se- 
creting structures paler, drier and denser than natural, 
and the cellular tissue more resisting, and with difficulty 
allowing the secreting ducts to be separated one from 
another. Sometimes one-half or two-thirds of the tes- 
ticle were transformed into a fibrous or fibro-cartilagin- 
ous tissue, mixed, in a few cases, with tuberculous matter. 
It is the same also in the epididymis, when I have even 
seen traces of ossific deposit in the midst of cartilaginous 
indurations. These changes, caused by previous inflam- 
mation, perfectly explain why the development of the 
spermatozoa can no longer proceed nominally. Although 
in such cases the secretion of semen may be more or less 
diminished, pollutions may still be present if the seminal 
vescicles have shared the inflammation by which the 
testicles have been affected, as happens in most cases of 
orchitis arising from blennorrhagia." 


" I have, at present, a patient who presents a re- 
markable example of both these effects arising from this 
cause ; he is now forty-one years of age, and had blen- 
norrhagia, followed by inflammation of both testicles, at 
twenty-five. Soon after his recovery he married, but 
has never had children, although the act has been per- 
formed regularly if not frequently. He became subject 
to nocturnal and sometimes to diurnal pollutions, which 
increased by degrees. His health became disordered, 
but coitus was still possible. The semen passed, al- 
though it presented its characteristic odor, but never 
showed, under the microscope, other than very small 
and brilliant globules, without any appearance of tail, 
but easily distinguishable from globules of mucus, the 


dimensions of which are five or six times larger. The 
epididymis of both sides is voluminous and irregular. 
One testicle is adherent to the skin of the scrotum and 
the other appears smaller than natural. Malformation 
of the spermatozoa, therefore, arises from deep-seated 
changes in the tissues of the testicles, changes which do 
not permit the animalcules to assume their normal form, 
and, therefore, render infecundity permanent. To sum 
up, then — Involuntary seminal discharges may op- 
pose fecundation previously to actually producing im- 
potence, by diminishing the energy of all the phe- 
nomena that occur to the accomplishment of the act, and 
by preventing the complete development of the sperma- 
tazoa as well as the elaboration of the fluid which acts 
as the vehicle for them. These conditions may be 
rapidly altered by the simple diminution of the involuu- 
• tary discharges, and fecundation may again become 
possible. This cannot be the case, when infecundity 
depends on malformation of the spermatozoa, such mal- 
formation arising from permanent alteration in the 
organs that supply them." 



The immense benefits arising from the use of the 
microscope is of the greatest interest to every one, but 
mco especially is it important to the surgeon. The 
discoveries by it, more particularly as regards the pro- 
creative functions, are of a recent date. M. Lallemand 
so fully explains the proper mode of pursuing such ex- 
aminations, that I will below insert his remarks. The 
process is perfectly simple to those who understand the 
correct rules, though often requiring a good deal of dis- 
agreeable trouble. 

" Microscopic Examinations of the Semen. — Since 
the discovery of the spermatozoa, their presence in the 
seminal fluid has attracted the attention of all who have 


jought means of distinguishing it from other fluids 
Microscopic examinations of the spermatozoa, however, 
not only requires an excellent instrument, but certain 
precautions, which maybe dispensed with in the investi 
gation of coarser objects. 

" As the spermatic animalcules can be only seen by 
means of transmitted light, it is necessary that the glass 
on which the fluid to be examined is placed, should be 
of uniform thickness, and without bubbles or striae. The 
fluid to be examined should be covered by another layei 
of extremely thin glass made for the purpose, and not by 
portions of mica, which are seldom free from cracks, and 
never perfectly transparent. This thin layer of glass 
is indispensable, in order as much as possible to diminish 
the thickness of the fluid, to render it perfectly uniform, 
to hinder evaporation and prevent the object-glass from 
being soiled by it. A single drop of fluid suffices for a 
complete observation — a larger quantity always proving 

" The little glass that covers the liquid must be firmly 
pressed down, so as to spread it out, arrest the currents 
that take place in it, and drive out the air-bubbles. ^Al-- 
though the glasses should seem to touch each other, the 
spermatozoa move with perfect freedom in the space be- 
tween them, so long as they preserve their energy, and 
evaporation has not proceeded too far ; should such be 
the case, however, a drop of tepid water favors and much 
prolongs their motions. However thin the layer of fluid 
may be, it is impossible to comprehend its whole thick- 
ness at once with a very high power ; it is, therefore, 
leeessary to alter the foeees frequently, in order to be 
sure that nothing escapes observation. And this is es- 
pecially important in examining a drop of fluid obtained 
from diurnal pollutions, because there are frequently 
only two or three spermatozoa contained in it. It is also 
necessary to change the position of the reflector fre- 
quently, in order to vary the direction and intensity of 
the light. 

" The spermatozoa are often exceedingly transparent 
in cases of disease, and a very bright perpendicular light 
is by no means the best for showing them. Jurying 
the density of the fluid under examination, either by 
adding water or by permitting evaporation, is also'often 


useful. The semen contains matters furnished by the 
seminal vesicles — the prostate and the urethra — and 
when the fluid is too thick these matters hide- the ani- 
malcules. A drop of water applied to the edge of the 
covering-glass penetrates underneath it and the sperma- 
tozoa are more isolated, at the same time that their con- 
tour is rendered more defined by the diminution in den- 
sity of the fluid. On the other hand, the refractive 
power of the spermatozoa, differs little from that of the 
fluid in which they are contained, and their thinnest 
portions are traversed by the light without affording 
any distinct images to the eye. In this case there are 
inly seen very small ovoid brilliant globules, terminated 
iy a little point. As soon as the water begins to pene- 
trate between the glasses, the rapid motion set up, pro- 
vents the objects from being clearly distinguished ; but as 
eoun as rest has been re-established the tails of the ani- 
malcules appear, and their dimensions seem to have in- 
creased in consequence of the diminished density of the 
surrounding fluid ; water suffices to produce this result. 
It is more sensible, however, when a small quantity of al- 
cohol is added ; but the forms of the animalcules are, 
after a time, altered by this agent ; and it is, therefore, 
advisable to use water only when it is intended to keep 
the preparation. 

" Evaporation sometimes produces not less remarkable 
changes in the seminal fluid. I have frequently, in cases 
of spermatorrhoea, failed to perceive anything in tho 
fluid under examination for half an hour, an hour, or 
more ; then suddenly an animalcule has made its ap- 
pearance ; then a dozen, and then perhaps a hundred, m 
the space of a few minutes. The following morning, 
when desiccation has become complete, there are no 
longer any traces of these animalcules, or, at all events, 
I have been only able to distinguish their tails, the other 
parts of them being fixed in the dried-up mucus. The 
absorption of a drop of water has restored the pheno- 
mena observed the night before. These phenomena are 
easily explained ; when the refractive power of the 
spermatozoa is the same as that of the circumambient 
liquid, the light traverses the whole in tho same manner, 
and the mass appears homogeneous. But evaporation 
acts more rapidly on the liquid than on the orgauifpd 


bodies contained in it ; and when the difference of 
density alters the refractive power, the foxms' of the 
spermatozoa are momentarily defined because they have 
become more transparent than the remainder of the 
fluid. "When desiccation is complete, however, the 
animalcules again disappear, because the refractive 
powers of mucus and dried animalcules are again 
equal. The absorption of a small quantity of water re- 
produces the same phenomena, which may be repeated 
almost indefinitely, since the matter confined between 
the two layers of glass undergoes no other appreciable 

" In order to be enabled to discover spermatozoa 
quickly, in cases of disease, it is necessary that they 
should be well studied in healthy cases. This may bo 
accomplished in the following manner: — After coitus 
there always remains a sufficient quantity of seminal 
fluid in the urethra to serve for precise and complete 
microscopical examination. This may be obtained by 
pressing the canal shortly after the act, and receiving 
the drop of fluid from the orifice of the glans on a plate 
of glass. In this drop of fluid thousands of animalcules 
may be seen agitating themselves like so many tadpoles 
in a pool of stagnant water, only that the tails of the 
spermatozoa are relatively longer and thinner, and that 
the head presents a brilliant point near its insertion. 
Generally the number of these animalcules prevents 
them from being easily examined ; and it becomes ne- 
cessary to spread them out by introducing a small 
quantity of water, and pressing firmly down the thin 
glass that covers them ; they are found most separated 
on the edges of the fluid. If the water added be of the 
temperature of the body, their motions become free and 
lively, and continue so until cooling, and evaporation 
effect them. By avoiding these two causes of disturb- 
ance the motions of the spermatozoa may be kept up 
during several hours. 

" However long a time may have elapsed after coitus, 
there are always spermatozoa in the urethra., provided 
they have not been washed away by the passage of 
urine. Although the point of tho glans may be quite 
dry, and pressure along the wholo length of the canal 
may not produce the least painfullness, still, on passing 


urine, living animalcules may be obtained from the first 
drop which escapes. This may be received on the glass, 
and is perhaps the easiest and most natural mode of ob • 
taining spermatozoa for microscopic examination. It ia 
evident that the same experiments may be applied in 
the case of nocturnal pollutions as well as in all other 
seminal discharges, in whatever manner they may 
occur. But many errors may arise from commencing 
ivith cases of disease, for it is during perfect health that 
the spermatozoa are most active and their development 
most complete, and they live longer after coitus than 
after any other kind of seminal discharge. 

"Having thus described the means by which my mi- 
croscopic observations may be verified, I proceed to 
show their results. 

" Spermatozoa. — Out of thirty-three bodies which I 
have examined for spermatozoa, I only twice found 
these animalcules in the testicles. In one of these cases 
the patient died from the effects of a fall on the day fol- 
lowing it ; in the other acute gastro-enteritis was the 
cause of death. The seminal fluid was most abundaut, 
and contained the greatest number of animalcules in the 
former case. The other patients died of chronic diseases 
after protracted sufferings. One only among them died 
on the second day of acute peretonitis, but he was sev- 
enty-three years "of age. In thirty-one of these patients 
the testicles were soft, pale, and as though withered. 
On dissection they presented a grayish aspect, and did not 
furnish any liquid ; the structure was almost dry, and 
contained a few blood-vessels ; the secreting canals were 
easily separated from one another, and could be spread 
out under the microscope without breaking. They pre 
sented very brilliant granules, all of exactly the same 
appearance, about the size of the head of a spermatozoa, 
ten times smaller than the corpuscles of blood or mucus 
and differing from the latter by the constancy and reg- 
ularity of their form. These brilliant bodies which oe 
cupied the place of the spermatozoa, are worthy of no- 
tice, because they offer considerable analogy to the ap- 
pearances presented by tho semen under certain circum- 

"In order to observe what is present in the secreting 
I'anitls of the testicles, it is necessarr to spread out a 


portion of one of them under the microscope, after bav 
ing examined it dry, to allow a drop of water to penetrate 
between the two glasses, and to follow the changes 
which take place, then to press down the glass so as to 
flatten the parieties of the canal, rupture it, and press 
out a portion of its contents ; lastly, these must be ex- 
amined again when desiccation is complete, for the sper- 
matozoa found in the canals are then best seen. 

" In the epididymis I have never found spermatozoa, 
?xcept in the two cases in which they were also found in 
he testicles. In all the others I met with these animal- 
;ules only in the vas deferens, or seminal vesicles. There 
were no animalcules at all to be found in the patient that 
died at the age of seventy-three. It has always seemed 
to me that the animalcules were less numerous in pro- 
portion as the patients had suffered long ; and in ex- 
treme cases I have generally found them only in the 
seminal vesicles. The fewer the spermatozoa, the more 
difficult were they of detection on account of their ex- 
treme transparency. In some cases I have only suddenly 
discovered them after examining for an hour or two, the 
liquid having previously appeared quite homogeneous. 
The dimensions were the same as those of the best de- 
veloped animalcules, but they were pale throughout 
their whole extent, and more transparent than the sur- 
rounding fluid. Complete desiccation caused them often 
to disappear altogether ; but the same phenomena could 
be reproduced by the absorption of a small quantity of 

"In cases of phthisis, caries of the vertebra;, white 
swelling, &c, I have had great difficulty in distinguish- 
ing the animalcules, probably because those diseases do 
lot cause death for a long time. 

" I have almost always found in the seminal vesicles, 
specially at the bottom of any depression, a thick, 
[rumous, brilliant matter, varying in its aspect and 
olor, but considerably resembling thick paste, and 
aore or less transparent ; with a high power the gran- 
ties of this matter appear largo, irregular, more or 
ess opaque, and without any constant shape. They 
re evidently the products of the internal membrane of 
he vesicles, for they are found with similar characters 
n the accessory vesicles of the hedge-hog, rat, &c, 


which never contain seminal animalcules, and do net 
communicate directly with the vasa deferentia, which 
again, never contain any similar substance. This matter 
115, therefore, analogous to that secreted by the pros- 
tatic follicles, cowper's glands, &c. Its functions are the 
same, and for many reasons it merits special attention. 

"The secretion of semen diminishes in all serious 
diseases, and seminal evacuations become very rare 
especially towards the last. It is not, therefore, as- 
tonishing that the products of the mucus membrane 
predominate in such patients over those of the testicles, 
and that such mucus should become more consistent 
during its long residence in the depressions of the vesi- 
cles. Hence, the difference observable between the 
semen obtained from the vesicles after, death, and that 
which is passed by a healthy person. Nevertheless, 
after long-continued continence, more or less laro-e 
granules are often seen in the semen of a healthy per- 
son, and these are perfectly distinct from the fluid part. 
When the emissions are most frequent, granules of the 
same kind may be observed, but much smaller. These 
facts are important when applied to explain several 
symptoms of diurnal pollutions. 

"I have already stated, that, on causing the patients 
to make water in a bath, the semen passed may be easily 
recognized by means of its globules, which whirl about 
in the middle of the cloud formed towards the close 
of micturation. From what we have just seen, it is evi- 
dent that these globules come from the internal mem- 
brane of the seminal vesicles. They may be wantin" 
in very severe cases when the semen has no time to 
acquire consistence ; but their presence leaves no doubt 
as to the existence of diurnal pollutions, because they 
can only be furnished by the seminal vesicles. On the 
other hand, I have invariably found spermatozoa in the 
urine of patients who observed this phenomenon in the 
bath. The same remarks hold good when applied to 
the globules which the urine deposits in certain cases 
of diurnal pollutions, and which have been compared by 
some to grains of bran, by others to millet seed, pearl 
barley, &c, according to their size. These globules are 
perceived as soon as the urine is passed ; they are round- 
ish, very soft, and do no* give any sensation when 


squeezed between the finger and thumb ; they cannot, 
therefore, be confounded with urinary salts, which are 
deposited only when the urine has cooled, have a crys- 
tellian form, and give the sensation of a hard body to 
the finger. The vesicle mucus also is only deposited on 
cooling, and does not furnish brilliant granules. 

" As to pus, its appearence is easily determined. 1 
have found animalcules wherever these globules appeared 
in the urine ; and henee it is that I have pointed them 
out as certain sigus of diurnal pollutions. 

" I have also noticed that in some cases the urine, 
when held against the light presents in the middle of a 
flocculent cloud multitudes of quite characteristic bril- 
liant points. These arc smaller, and consequently 
lighter globules than those which in other patients fall 
to the bottom of the vessel. They are neither observed 
in the mucus of the bladder nor in the prostatic fluid, 
which alone present clouds analagous to those of diurnal 
pollutions. Such brilliant points also arise from the 
seminal vesicles, and thei'r presence is, therefore, an in- 
dication that tbe urine contains semen. This I have 
often verified with the microscope. I should, however, 
warn those who wish to repeat my experiments, that it 
is not in the midst of the flocculent cloud that the zoos- 
permes are to be sought, but at the bottom of the vessel 
to which they soon fall,, on account of their greater 
specific gravity. 

" The results of all my observations on the dead sub- 
jects, therefore, convince me of the influence of serious 
and long-continued diseases on the functions of the 
spermatic organs. But it is not only in the morbid 
state that these experience great variations ; remark- 
able differences may exist between healthy individuals, 
not only in the quantity of semen secreted in a given 
time, but also in the number, appearance and dimen- 
sions of the spermatozoa. In this respect, I have ob- 
served differences amounting to a third, and in som 
cases to a half. The comparison is very easily esta- 
blished. When the semen is kept under a'thin glass, as 
I have described, it is not in danger of undergoing any 
changes, and may be always, by the addition of a drop 
of water, compared with a recent specimen. 

" Notwithstanding the facility with which nocturnal 


pollutions may be recognized, I hav» submitted the 
semen collected after them, by individuals in various 
conditions of health, to microscopic examination. At 
first, when the evacuations are still rare and the semen 
preserves its ordinary characteristics, the animalcules 
do not present any remarkable circumstances in regard 
to their number, dimensions, &c. ; but when the disease 
has reached a sufficient degree of gravity to affect the 
rest of the system, the semeu becomes more liquid, aud 
the spermatic animalcules less developed and less lively. 
This number, however, does not as yet sensibly diminish ; 
indeed, in some eases, it seems increased. As the dis- 
order advances, the erections diminish, the semeu be- 
comes more watery, and the animalcules are often a 
fourth or a third less than natural, and the tail is often 
distinguished with difficulty, under a power of three 
hundred diameters. At a still later period the animal- 
cules become fewer, and in two individuals, in the last 
stages of the affection, the semen no longer contained 
animalcules, although it retained its characteristic smell. 
Examined with high powers, and very proper precau- 
tion, I only found, in this semen, brilliant globules, all 
exactly alike, and about the same size as the head of a 

" The microscopic examination which I have made 
of semen passed during efforts at stool give analogous 
results. When such discharges only take place acci- 
dentally and at long intervals, the semen is thick, whit- 
ish, impregnated with a powerful smell, and abundantly 
furnished with well developed animalcules. I have some- 
times even found a few alive after an hour or two. But 
when these discharges become so frequent or habitual as 
to constitute disease, they become less abundant and 
the semen loses its normal properties. The spermato- 
zoa are generally smaller than in the healthy condi- 
tion, and always less lively. I have some preparations in 
which they are only one-half the ordinary size-, and I have 
never been able to find a single living animalcule a few 
minutes after the fluid had been expelled. When the 
disease has become much aggravated the spermatozoa 
become rare, and they are sometimes replaced by ovoid 
or spherical globules simLar to those of which I have 
%lready spoken In these patients in an extreme state 


of disease, I found nothing else, although they passed 
as much as a desert spotn'ul of semen at each stool. 
Such cases, however, are exceedingly rare. 

" In diurnal pollutions happening during the passage 
of urine the following means may be employed to show 
the presence of spermatazoa : — The urine should first 
be filtered in a conical filter, when, on account of their 
weight, the greater number of the spermatozoa will 
remain on the lowest part of the paper. By taking 
this portion and turning it upside down in a watch-glasa 
containing a few drops of water, the animalcules become 
detached from the paper by degrees, and fall to tae 
bottom of the fluid in the glass. After twenty-fi.ur 
hours maceration in this position, the paper may be 
taken away, and the spermatozoa may be readily ob- 
tained by using a drop from the bottom of the flui'i in 
the watch-glass for examination. This mode of pro- 
ceeding is a sure one, but it requires considerable time 
and trouble for its performance. 

" I have already stated that the urine does not always 
contain spermatozoa in cases of diurnal pollutions ; 
therefore, the urine of the same individual would per- 
haps, require examination on many occasions, before the 
certainty of their presence could be established, and few 
medical men in active practice have time to devote to 
such experiments. I, for one, should have long since 
given up treating these patients, had I been obliged to 
repeat in every case such long and tiresome examina- 
tions. Ten days or a fortnight are sometimes passed 
without the appearance of spermatozoa in the urine, and 
hence all who are accustomed to microscopic researches, 
will admit the indefinite amount of trouble and time re- 
quired. Fortunately, however, there is a more simple 
method by which such examinations maybe conducted. 

" It will be recollected that the semen always escapes 
with the last drops of urine, or immediately, or soon af- 
terwards. By directing the patients, therefore, to com- 
press the urethra immediately after micturating, and to 
receive tho drop of fluid pressed out on a piece of glass, 
sufficient animalcules wiy be obtained from the walls cf 
the urethra for microscopio observation. These being 
covered with a thin camella of glass may bo cither at 
once placed under the microscope, or may be allowed U 


dry, and be examined at a future time — a drop of water 
being previously added. This mode of examination is, 
therefore, easy for all practitioners who possess a good 
microscope, after they have accustomed themselves to 
the inspection of the spermatozoa in their natural state. 
"The changes which I have mentioned as occurring 
in the semen must be borne in mind, however, and the 
animalcules must not be expected to appear either so 
large, so well defined, or so numerous, as in cases where 
there is no disease." 



"A too great loss of semen weakens all the solid 
parts ; hence arise weakness, idleness, phthisis, tabes 
dorsalis, stupidity, affections of the senses, faintings and 
convulsions." Hoffman had already remarked that 
" those young people who practice the infamous habit 
of masturbation, lose gradually all the faculties of the 
mind, particularly the memory, and become entirely 
unfit for study." Lewis describes all these symptoms. 
We shall translate from his work only what relates to 
the mind : — " All the symptoms which arise from ex- 
cesses with females, follow still more promptly, and in 
youth the abominable practice of masturbation ; and it 
is difficult to paint them in as frightful colors as they 
deserve. Young persons addict themselves to this habit 
without knowing the enormity of the crime, and all the 
consequences which physically result from it. Tht 
mind is affected by all the diseases of the body, but 
particularly by those arising from this cause. The 
most dismal, melancholy, indifference and aversion to 
all pleasures, the impossibility to take part in conversa- 
tion, the cense of their own misery, the consciousness of 
having brought it upon themselves, the necessity of re- 
nouncing the happiness of marriage, all affect them sa 


much that they renounce the world — blessed if they es- 
cape suicide." 

The symptoms mentioned in the foregoing are almost 
a perfect type seen in the cases of masturbation ; but 
there are others more deplorable, which have but re- 
cently been discovered as arising directly from it ; I 
mean insanity, idiocy, and a total prostration of all 
physical and mental power, and which affects not only 
the person so addicted, but the innocent offspring, and 
which invariably leads to the extinction of the family 

It is but quite recent that these terrible evils have 
been found to be under our control. It has heretofore 
been considered a mysterious dispensation of Divine 
Providence, to be met and endured with patience and 
resignation. Very few eminent writers have already, 
though but recently, acknowledged the influence of self- 
abuse in producing idiocy, insanity and constitutional 
degeneracy, and urge the necessity of searching for the 
cause, in treating these evils. So convincing has this 
become, that it has even been recognized recently in a 
legislative document, which tells more wholesome truth 
— accompanied with more sound reasoning, I was about 
to say— than all the medical treatises heretofore pub- 
lished on the subject put together. I particularly refer 
to the Report on the subject of Idiocy, presented to the 
Massachusetts Legislature by Dr. Howe, in February, 
1848, complying with a resolution of that intelligent 
body, directing a report on that subject. I hope the 
introduction of that valuable document will be the 
means of eliciting the like truths, by all the other Legis- 
latures, without any farther delay, for the influence of 
such documents, from such sources, would accomplish 
more good, by preventing the unsuspecting from falling 
into so deplorable a vice, than all the asylums and 
medical treatment could ever think of doing by way of 
cure. I feel convinced that the time will speedily arrive 
when this and similar reports will be eagerly sougfit for, 
and their inestimable value universally admitted. My 
quotations from the report will not only corroborate all 
l have said in these pages, but serve the additional 
purpose of more fully enlightening the public. 

Dr. H's able, forcible, sensible and convincing re 


marks, on boldly approaching this subject, should for- 
ever silence and put to shame all affected modesty in 
speaking upon this subject hereafter, for too many per- 
sons, aware of its existence heretofore, have foolishly 
been prejudiced by falso modesty from doing so : — 

" There is another vice, a monster so hideous in mien, 
so disgusting in feature, altogether so beastly and 
loathsome, that, in very shame and cowardice, it hides 
its head by day, and, varnpyre like, sucks the very life- 
blood from its victims by night ; and it may, perhaps, 
commit more direct ravages upon the strength and 
reason of those victims than even intemperance ; anc" 
that vice is 


" One would fain bo spared the sickening task of 
dealing with this disgusting subject ; but, as he who 
would exterminate the wild beasts that ravage his 
fields, must not fear to enter their dark and noisome 
dens, and drag them out of their lair ; so he who would 
rid humanity of a pest, must not shrink from dragging 
it from its hiding-places, to perish in the light of day. 
If men deilied him who delivered Lerna from its hydra, 
and canonized him who rid Ireland of its serpents, what 
should they do for ono who would extirpate this monster 
vice ! What is the ravage of fields, the slaughter of • 
flocks, or even tho poison of serpents, compared with 
that pollution of body and soul, that utter extinction of 
reason, and that degradation of beings made in God's 
image, to a condition which it would be an insult to the 
animals to call beastly, and which is so often the conse- 
quence of excessive indulgence in this vice 1 

" It cannot be that such loathsome wrecks of hu- 
manity as men and women, reduced to driveling idiocy 
by this cause, should be permitted to float upon the tide 
of life without some useful purpose ; and the only one 
we can conceive, is that of awful beacons to make others 
avoid — as they would eschew moral pollution and death 
— the cause which leads to snch ruin. This may seem 
to be extravagant language, but there oan be no exag- 
geration — for there can be no adequate description even 
— of the horrible condition to which men and women are 


reduced by this practice. There are among those enu- 
merated in this report, some who not long ago were 
considered young gentlemen and ladies, but who are 
now moping idiots, idiots of the lowest kind ; lost to all 
reason — to all moral sense — to all shame ; idiots who 
have but one thought, one wish,- one passion — and that 
is, the further indulgence in the habit which has loosed 
the silver cord even in their early youth, which has al- 
ready wasted, and, as it were, dissolved the fibrous part 
of their bodies, and utterly extinguished their minds. 

" in such extreme cases, there is nothing left to ap- 
peal to, absolutely less than there is in dogs or horses — 
for they may be acted upon by fear of punishment ; but 
these poor creatures are beyond all fear and all bope, 
and they cumber the earth awhile — living masses of 
corruption. If only such lost and helpless wretches ex- 
isted, it would be a duty to cover them charitably with 
the veil of coneealment, and hide them from the public 
eye, as things too hideous to be seen ; but, alas ! they 
are only the most unfortunate members of a large class. 
They have sunk down into the abyss towards which 
thousands are tending. 

" The one which has shorn these poor creatures of 
the fairest attributes of humanity is acting upon ofhers, 
in a less degree. indeed, but still most injuriously — en- 
ervating the body, weakening the mind, and polluting 
the soul. A knowledge of the extent to which this- one 
prevails, would astonish and shock many. It is indeed 
a pestilence which walketh in darkness, beoause, while 
it saps and weakens all the higher qualities of the mind, 
it so strengthens low cunning and deceit, that the vic- 
tim goes on in his habit unsuspected, until he is arrest- 
ed by some one whose practiced eye reads his sin in the 
very means which he takes to conceal it — or until all 
sense of shame is forever lost in the night of idiocy, 
with which his day so early closes. 

" Many a child who confides everything else to a lov- 
ing parent, conceals this practice in its innermost heart. 
The sons or daughters who dutifully, conscientiously, 
and religiously confess themselves to father, mother, or 
priest, on every other subject, never allude to this. Nay, 
they strive to cheat and deceive by false appearances ; 
for, as against this darling sin — duty, conscience, and 


religion, are all nothing. They even think to cheat 
God, or cheat themselves into the belief that He who 
is of purer eyes than to behold iniquity, can still regard 
their sin with favor. 

"Many a fond parent looks with wondering anxiety 
upon the puny frame, the feeble purpose, the fitful hu- 
mors of a dear child, and, after trying all other remedies 
to restore him to vigor of body and vigor of mind, goes 
journeying about from place to place, hoping to leava 
the offending cause behind, while the victim hugs the 
disgusting serpent closely to hia bosom, and conceals it 
woefully in his vestment. 

" The evils which this sinful habit works in a direct 
and positive manner are not so appreciable, perhaps, as 
that which it effects in an indirect and negative way. 
For one victim which it leads down to the depths of 
idiocy, there are scores and hundreds whom it makes 
shame-faced, languid, irresolute, and inefficient, for any 
high purpose of life. In this way the evil to individuals 
and to the community is very great. 

" It behooves every parent, especially those whose 
children (of either sex,) are obliged to board and sleep 
with other children, whether in boarding-schools, board- 
ing-houses, or elsewhere, to have a constant and watch- 
ful eye over them, with a view to this pernicious and 
insidious habit. The symptoms of it are easily learned, 
and if once seen, should be immediately noticed. 

" frothing is more false than the common doctrine of 
delicacy ana reserve in the treatment of this habit. All 
hints, all indirect advice, all attempts to cure it by cre- 
ating diversions, will generally do nothing but increase 
the cunning with which it is concealed. The way is to 
throw aside all reserve ; to charge the offence directly 
home ; to show up its disgusting nature and hideous 
consequences in glowing colors ; to apply the cautery 
seething hot, and press it into the very quick, unspar- 
ingly and unceasingly. 

"Much good has been done, of late years, by the pub- 
lication of cheap books upon this subject. They should 
be "put into the hands of all youth suspected of the vice. 
They should be forced to attend to the subject. There 
should be no squeamishness about it. There need be no 
,<ear of weakening virtue by letting it look upon such 


hideous deformity as this vice presents. Virtue is not 
salt or sugar, to be softened by such exposure, but the 
crystal or diamond that repels all foulness from its sur- 
face. Acquaintance with such a vice as this — such ac- 
quaintance, that is, as is gained by having it held up 
before the eyes in all its ugliness, ouu only servo to make 
it detested and avoided. 

" Were this the place to show the utter fallacy of the 
notion that harm is done by talking or writing to the 
young about this vice, it could perhaps be done by argu- 
ment, certainly by the relation of pretty extensive expe- 
rience. This experience has shown, that in ninety-nine 
cases in a hundred, the existence of the vice was known 
to the young, but not known in its true deformity ; and 
that in the hundredth, the repulsive character in whirli 
it was first presented, made it certain that no further 
acquaintance with it would be sought." 

My experience tells me, that the language of Dr. 
Howe is not too severe, for to speak directly to the 
point is what is necessary, and, as he says, " not be 
evasive." rle never did more real service to humanity 
than when he presented this Report, for there cannot be 
more momentous truths. Ignorance is made terribly 
apparent, both as regards the patient and society at 
large, in another part of this truly valuable document, 
i Every one will be in danger, until knowledge takes the 
place of such ignorance : — 

" In some families that are degraded by drunkenness 
and vice, there is a degree of combined ignorance and 
depravity which disgraces humanity. It is not wonder- 
ful that feeble-minded children are born in such families ; 
or, being born, that many of them become idiotic. Out 
of this class, domestics are sometimes taken by those in 
better circumstances, and they make their employers feel 
the consequences of suffering ignorance and vice to exist 
in the community. 

" There are cases recorded in the appendix, where 
servant-women, who had charge of little girls, deliber- 
ately taught them the habits of self-abuse, in order that 
they might exhaust themselves, and go to sleep quietly. 
This has happened in private nouses as well as in the 
almshouses ; and such little girls have become idiotic. 
The mind instinctively recoils from giving credit to such* 


atrocious guilt ; nevertheless, it is there, with all its 
hideous consequences ; and no hiding of our eyes, no 
wearing of rose-colored spectacles — nothing but looking 
at it in its naked deformity, will ever enable men to 
cure it. 

" There is no cordon sanitiire for vice ; we cannot put 
it into quarantine nor shut it up in a hospital ; if we 
allow its existence in our neighborhood, it poisons the 
very air which our children breathe. 

" The above remarks forcibly apply to all our public 
schools, for I have become too well acquainted, 1 was 
about to say, with the alarming extent with which it 
prevails, oftea even in the most open manner. The ex- 
tent of it is amazing, for it exists both among the teach- 
ers and the students, and what can be more absurd than 
the partial, even shunning of the subject ? By so doing, 
it leads not only to the continuance in some, but the 
production of it in the yet uninitiated. 

" In some, as I have previously stated, persons com- 
mence the habit accidentally, but their numbers are very 
limited, compared to those who are taught it ; there- 
fore the immense importance of preventing contamina- 
tion by those already addicted. 

" There is one remarkable and valuable fact to be 
learned respecting this vice, from observation of idiots, 
and that is, that some of them, though they have no 
idea of right and wrong, no sense of shame, and no 
moral restraint, are nevertheless entirely free from it. 
They could never have been in the practice of it, else 
they would never have abandoned it. 

" From this may be inferred, that it is a pest, gene- 
rally engendered by too intimate association of persons 
of the same sex, that it is handed from one to another 
like contagion, and that those who are not exposed to 
the contagion are not likely to contract the dreadful 
habit of it. Hence we see that not only propriety and 
decency, but motives of prudence, require. us to train up 
all children to habits of modesty and reserve. Children 
as they approach adolesence, should never be permitted 
to sleep together. Indeed, the rule should be — not with 
a view only to preventing this vice, but in view of many 
other considerations — that, after the infant has left its 
mother's arms, and become a child, it should ever after 


sleep in a bed by itself. The older children grow and the 
nearer they approach to youth, the more important does 
this become. Boys even should be taught to shrink 
sensitively from any unnecessary exposure of person, 
before each other ; they should be trained to habits of 
delicacy and self-respect ; and the capacity which na- 
ture has given to all for becoming truly modest and re- 
fined, should be cultivated to the utmost. Habits of 
self-respect, delicacy, and refinement, with regard to 
the person, are powerful adjuncts to moral virtues. 
They need not be confined to the wealthy and favor- 
ed classes ; they cost nothing — On the contrary, they 
are the seeds which may be had -without price, but 
which ripen into fruits of enjoyment th'at no money can 

It is true, that it is almost impossible, unfortunately, to 
entirely prevent children from learning this vice, either 
by emulative practice or more direct instruction. We 
must necessarily then guard them against it, by a 
timely warning. I know of instances where parents 
supposed the information they had given their child, 
had produced the desired effect, but instead of that they 
have kept on with the practice, until they sunk into an 
nntimely grave, and yet the parent was congratulating 
birriself upon the success of his precautions. 

Copland has an article on Insanity, which points out 
the various causes of this terrible affliction, and uses the 
following language, in speaking of self-abuse : — 

"Many, however, of those causes which thus affect 
nervous energy, favor congestion of the brain and oc- 
casion disease of other vital organs, tending to disoid;r 
the functions of the brain sympathetically. Of these,, 
the most influential are masturbation and libertinism, 
or sexual excesses, sensuality in all its forms, a»d inor- 
dinate indulgence in the use of intoxicating substances 
and stimulants. The baneful influence of the first of 
these causes is very much greater, in both sexes, than 
is usually supposed, and is, I believe, a growing evil, 
with the diffusion of luxury, of precocious knowledge, 
and of the vices of civilization. Itris even more preva- 
lent in the female than in the male sex, and in the 
former it usually occasions various disorders connected 
with the sexual organs — as leucorrhoea, or suppressed 


or profuse menstruation, botli regular and irregular 
hysteria, catalepsy ecstacies, vertigo, various states of 
disordered sensibility, etc., before it gives rise to mental 
disorder. In both sexes epilepsy often precedes insanity 
from this cause ; and either it or general paralysis often 
complicates the advanced progress of the mental dis- 
order, when thus occasioned. Melancholia, the several 
grades of dementia, especially imbecility and morcom- 
ania, are the more frequent forms of derangement pro- 
ceeding from a vice which not only prostrates the physi- 
cal powers, but also impairs the intellects, debases the 
moral affections, and altogether degrades the individual 
in the scale of social existence, even when manifest in- 
sanity does not arise from it." 

As I have asserted in a former page, the difference 
between the effects of masturbation and natural excess,- 
is very great, for the former is the operation of the im- 
agination entirely, while the latter is accompanied by 
the natural associations, producing a pleasurable feel- 
ing ; to be sure, the latter is only partial when in excess. 
I very often have patients, who are unwilling slaves to 
th evice of masturbation to such an extent, that their 
hands must be fastened while at sleep, to preyent the 
practice. The mental tortures of fear and self-condem- 
nation, combined with the bodily exhaustion, produce a 
fearful havoc. Natural excesses seldom cause insanity 
or idiocy, except, perhaps, in the offspring ; but the 
solitary vice is sure to do so in both, .if not prevented by 
judicious and timely treatment. 

The Massachusetts Report says, that, "one hundred 
and ninety-one of the idiots examined were known to 
have practiced masturbation, and in nineteen of them 
the habit was even countenanced by the parents or 
nurses ! One hundred and sixteen of this number were 
males, and seventy-five females. In four hundred and 
twenty who were born idiots, one hundred and two were 
addicted to masturbation, and in ten cases the idiocy of 
the children was ' manifestly attributable to self-abuse 
in the parents!' The ten cases known, justify the con- 
clusion, that in reality there are many more, which 
"proves, beyond a shadow of doubt, that many cases of 
idiocy in children is attributable to the sexual vice of 
the parents. Is not this fact almost too fearful for con- 


templation, and the importance of it to the conjmunitj 
incalculable ? " 

There are many valuable statistics in the annua! re- 
ports of the Massachusetts Lunatic Asylum. In the 
twelfth report, of the number of cases existing in the 
Institute, one hundred and thirty-nine are set down as 
having been caused by masturbation, which, from the 
language used in the report, is a decrease of the number 
to such an extent as to cause great satisfaction, and is 
attributed to the information that has been diffused on 
the subject, and the warnings that have reached the 
young through the various channels of intelligence that 
have been opened on this hitherto obscure subject. 

The thirteenth report contains one-hundred and forty- 
five cases, as caused by self-abuse, with some remarks, 
which I add below : — 

" The cause* of insanity may be divided into volun- 
tary and involuntary. Of the former, the principal are 
intemperance and the secret vice ; other causes may be 
of this class, such as hazardous speculation, many re- 
ligious vagaries, imprudent exposures and irregularities. 
None are so prominent as the two first named, and 
none so fully stain the character with guilt, which even 
the occurrence of hopeless disease can hardly wipe away. 
Intemperance disorders the senses, and induces apo- 
plexy, epilepsy, and palsy. The cases from this cause 
are about as favorable for recovery as the majority of 
others, but are most sure to return if the habit of in- 
temperance recurs. 

" The secret vice produces the very worst form of 
insanity, because it is so difficult to avoid the continu- 
ance of the cause, and because the energies of the system 
are more prostrated by it than by almost any other 
cause. Such patients become degraded animals, so 
entirely abandoned to the habit that hopeless dementia 
and driveling irlioey generally follow. A few can be 
influenced to abandon the practice, and a few others 
can be cured in spite of it, but in almost all cases the 
disease will become worse, and these dreadful conse- 
quences will ensue. 

" The secret vice, though doubtless a frequent cause 
of insanity, and of other severe and fatal diseases, far 
more than is generally supposed, is most operative in 


preventing recovery from insanity, arising from this tmd 
other causes. It is extensively and alarmingly the re- 
sult of an active propensity excited by the disease, and 
unrestrained by reason, moral influences, or self-respect. 
Many cases of a favorable character progress towards 
recovery, till this practice is commenced, then the pa- 
tient becomes listless, is inclined to lie down or sit in a 
bent position, walks moderately, looks feeble, and feels 
weak and miserable. His mind loses its energies, its 
scope is circumscribed, more and more, till this beastly 
indulgence occupies all his thoughts, and the remnant of 
all the physical powers is concentrated to this single 
effort of gross and debased animal nature. Thus, the 
groveling sensualist lives, often a long life, a degraded 
sufferer, without a manly thought or a moral feeling 
worthy of his nature or his destiny, and finally leaves 
the world without the regret of his friends, a useless, 
burthensome, loathsome object of abhorrence and dis- 

Under the head of " Relation of Cause to Recovery," 
in the two reports, there are two hundred and seventy- 
one males and twenty-nine females, enumerated, from 
the effects of masturbation ; and of this number, one 
hundred and ninety-seven males and twenty-seven fe- 
males were incurable ; which shows but the small num- 
ber of tWo of the females as having been cured. 

As one of the proofs against the absurd doctrine, that 
by giving this subject publicity, will increase the evil, 
by drawing the attention of those to it, who otherwise 
would not have known there was such a disease, I will 
Insert some of the truths directly relating to the occupa- 
tion of those addicted to this vice, in these reports. 

Those educated as physicians of course understand 
the sexual system, while others never study anythiug of 
the kind, for want of time or because it is not necessary. 
We will see by this the proportion of the educated and 
uneducated, as regards those made insane by masturba- 

In the thirteenth report, there were sixty-two shoe- 
makers in the asylum, of whom twenty-four were insane 
from this cause ; which shows that nearly one-half of 
this class of the population become so from self-abuse. 

By referring to the medical profession, we find phy 


Bicians made insane from other causes, bat not a single 
case in either report caused by masturbation. This 
alone is conclusive evidence, that the greater the knowl- 
edge of the subject the less will the habit be practiced, 
so that in the end we may almost hope for its entire ex- 

There are other facts also, in the same reports, which 
conclusively show, that this kind of knowledge is needed ; 
for instance, among students the proportion of insane 
from masturbation is about seventy-five per cent., there 
being eighteen from this cause, out of twenty-five. And 
among merchants, the proportion -is nearly fifty per 
cent. Of lawyers, about thirty-three per cent. ; and 
clergymen fifty -six per cent. Intemperance is the great- 
est cause, yet there were many of them that were pro- 
duced by masturbation in the first instance, and to 
drown their shame no doubt resorted to alcohol. Many, 
without doubt, used other stimulants as well as alcohol, 
as a temporary relief from the great exhaustion the 
practice always produces. 

Self-abuse, it is well known, causes ill health,, and 
that was the cause of some of the cases ; but, notwith- 
standing, all of the other complaints combined do not, 
I am satisfied, cause as much insanity as the secret vice 
of self-abuse. 

The influence of the occupation, as tending to this 
solitary vice is shown, in these reports. They conclu- 
sively prove, that sedentary employments tend to 
cause it, while active, out-ot-door occupation opposes 
it, for among students, printers, shoemalrers, and mer- 
chants, fifty per cent, of the insanity arises from mastur- 
bation, but only twelve per cent, from intemperance. 
Among carpenters, blacksmiths, and others who are ac- 
tively employed, thirty-five per cent, arises from intem- 
perance, and only thirteen from masturbation. Among 
seamen, fifty-four per cent, of the insanity is caused by 
intemperance, and only eleven per cent, from solitary 

Parents, therefore, after they have given their sons 
the proper advice, should allow them to choose their 
own employment, and not confine a sanguine tempera- 
ment, requiring mental and muscular occupation of the 
most varied kind, to an office or counting-house, nor a 

PLATE 23. 

Fig. 71 represents the digestive tube from the esophagus to the anus. 1 , 
esophagus, which is laid open at 2 , to show its termination in the cardiac ori- 
fice of the stomach ; 3 , interior of the stomach with its rugse ; i , duodenum , 
commencing at the pylorus ; 5, gall-bladder with the cystic duct, which last 
passes downwards to open into the duodenum ; 6, 6, 6, small intestine, ter- 
minating in the csectim, 7 ; 8, appendicula vermiformis ; 9, right ascending 
colon; 10, transverse arch of the colon; 11, left descending colon; 12, 
sigmoid flexure ; 13, rectum ; 14, anus. 


more intellectual profession, for the monotonous inactivi- 
ty, as we have stated above, is the greatest cause of sex 
ual excesses, for the vital energy, instead of being ex- 
pended in active exertion, stimulates the sexual organs 
to an unnatural degree, and then causes the vice, both as 
a gratification and relief. 

The every-day cases we meet with, present these ef- 
fects most frequently — weakuess of the eyes, swelling 
and soreness of the lids, the dark or tell-tale spots under 
the eyes; which is a sure symptom of an exhausted sys- 
tem, buzzing or singing in the ears, partial deafness, 
weakness of the back and limbs, especially the knees, 
headache, dizziness, flatulence, incontinence of urine, 
which is very frequent, diarrhoea, but most generally con- 
stipation, and sometimes of the most obstinate form, pal- 
pitation of the heart, shortness of breath, loss of memo- 
ry, and confusion of ideas, melancholy, peevishness, and 
irritability. Once and awhile we meet with a case where 
there is a partial loss of speech, tendency to stammer or 
stutter; and in almost every instance there is a hesitancy 
and indecision in these patients. Sometimes there is a 
difficulty of swallowing, which is a partial paralysis pro- 
duced by the sympathy with the organs below, and are 
very often troubled with a gulping or belching of wind, 
a whitening of the hair, and even baldness, are often 
produced from these causes ; palsy and epilepsy are very 
often the results, and so is paralysis, much oftener it is 
the case than is supposed. These are severe affections, 
but the sympathies of the generative organs are power- 
-ful, and it is not surprising, therefore, as the exhaustion 
of the vital power is great, when caused by excess- 
ive action. For the better illustration of the subject, 
however, I will here insert a few cases from the note- 
book of M. Lallemand, and others ; but the mode of 
treatment I entirely dissent from, for it is very seldom, 
indeed, that a case presents itself, requiring, or which is 
adapted to it, and I have cured many a patient by my 
more simple treatment — which causes not the least 
pain — after they had submitted to numerous cauteriza- 
tions, the pain of which is always severe, alid some- 
times causes a worse disease than the one for which it 
was applied. 



" M. D. of Philadelphia, of a very robust constitution, 
contracted the habit of masturbation while at school, 
when only eight years old. The first effect produced was 
a frequent desire to pass urine, and at twelve years of 
age this irritability had become so great that he was 
sometimes unable to retain his urine a quarter of an 
hour. Before entering a house he always took care to 
micturate several times in rapid succession ; and, not- 
withstanding this precaution, he soon experienced re- 
newed uneasiness. He felt as though his bladder was 
never entirely empty, and the smallest quantity of urine 
induced spasmodic contractions. The irritability of the 
urinary organs diminished by degrees after the period 
of puberty, but never ceased entirely, notwithstanding 
the various means which were employed on different oc- 

" At the age of sixteen, M. D. endeavored to break off 
his injurious habits by sexual intercourse, but he found 
himself completely impotent, and shame induced him to 
return to masturbation. He afterwards made further 
attempts to correct himself, but he experienced nocturnal 
pollutions, which often made him lose courage. At 
length, after many relapses, he succeeded completely, 
without observing any further nocturnal emissions. Still 
his health, instead of improving, became more and more 
impaired. His erections were less frequent, less pro- 
longed, incomplete, and at length gradually ceased, to- 
gether with all animal desire. 

" At the age of twenty-eight, the state of his urine, its 
frequent discharge, and the wandering pains in the peri- 
neum and testicles, induced a fear of calculus ; sounding, 
however, only showed a morbid sensibility of the urethra, 
especially towards the neck of the bladder. 

" In the beginning of May, 1837, M. D. came to Mont- 
pelier, in the following condition : — Much debilitated, 
unsteady in his walk, easily chilled, and taking cold 
very quickly, wandering pains all over his body, skin 
dry, memory impaired, digestion difficult, extremities 
cold, scrotum relaxed and testicles soft — very sensi- 
tive, and often causing a dull pain, as if they were 
forcibly compressed ; the semen (from the account he 


gave of the last nocturnal emisions he had experienced) 
clear, aqueos, and inoderous ; semenal pollutions with 
the last drop of urine, which were clammy, and passed 
with difficulty, and excited a sensation of tickling in 
the neighborhood of the anus, which extended to the 
orifice of the urethra. He often had diarrhoea, but, at 
other times was very costive, and his stools were pareed 
with difficulty and pain. He did not, however, often 
pass semen while at stool. 

" I discovered, several days following, the. presence of 
semen in M. D.'s urine, and catheterism showed an ex- 
cessive irritability of the urethra, especially in the 
neighborhood of the prostate, which, on examination, 
was found slightly enlarged, Nearly a tablespoonful of 
blood followed the withdrawal of the catheter. The 
circumstances did not leave the least doubt on my mind 
as to the state of the mucous membranes in the vicinity 
of the ejaculatory ducts ; and consequently, I imme- 
diately performed cauterisation, from the neck of the 
bladder as far as the membraneous portion of the urethra. 

' Twenty days afterwards, M. D. left Montpelier for 
Italy, and when he returned, three months afterwards, 
he was completely cured — no involuntary seminal emis- 
sions having afterwards appeared. His urine was trans- 
parent, and could be retained seven or eight hours, 
without inconvenience ; its discharge took place without 
effort, and was not accompanied by any remarkable 
sensation. Lastly, the patient's impotence, which had 
been present nearly twelve years, had given place to a 
virility previously unknown to him ; I need hardly state 
that his physical and moral energy had shared in this re- 

" I have often had occasion to notice the connection 
that exists between the spermatic and urinary organs ; 
and I have shown that there is scarcely a cause of sper- 
matorrhoea which does not act more or less on the blad- 
der and kidneys. 

" The cause I am now investigating affords us numer- 
ous examples of this connection — of which the case I 
have just related, is a remarkable instance — the irrita- 
tion of the urinary organs having been developed very 
rapidly, having shown very marked symptoms, and 
having existed alone during several years. The patient 


was only eighteen years of age when he first became ad- 
dicted to masturbation ; at this early age the urinary 
organs alone possessed activity, and therefore they alone 
were able to suffer disturbance of their functions ; on 
this account the symptoms were confined for a long time 
to the urinary organs. The character of the symptoms 
showed that they arose from a chronic state of inflamma- 
tion, or from an acute irritation of the urinary organs, 
and this state must have extended also towards the sper- 
matic organs. Thus, the increased sensation of the kid- 
neys, and the extreme irritability of the bladder, would 
give a very clear idea of what took place in the spermatic 
organs at the period of puberty. As soon as the testicles 
began to act, they fell under the same influence as the 
kidneys ; the seminal vescicles were in the same condi- 
tion as the bladder ; in other words, the semen was se- 
creted in large quantities, and was retained a very short 
time in its reservoirs. Being, therefore, imperfectly 
formed, the usual effect on the erectile tissues produced 
by its presence, did not take place, and coitus was im- 
possible at the age of sixteen. 

"The occurrence of impotence. at so early an age is 
sufficient to show that diurnal pollutions had already 
commenced, although the patient did not discover them 
for a long time afterwards. He was still, however, able 
to practice masturbation ; and this is a circumstance 
which has great effect in preventing persons addicted to 
the vice from renouncing their fatal habits. At a later 
period, nocturnal pollutions, which occurred after a few 
days' care, shook the patient's resolution. This is a 
much less serious circumstance than the one just men- 
tioned, but, at the same time, much more common. At 
length the patient left off his habits, and his nocturnal 
pollutions disappeared ; yet the disorder of his health 
continued to increase. His prudence, exercised too late, 
did not arise from the strength of his will, but from the 
weakness of his genital organs. The disappearance of 
his nocturnal emissions did not arise from the remedial 
measures used, but from the increase'of his involuntary 
diurnal discharges, of which he only became aware long 
afterwards. These common errors are the more danger- 
ous, because medical practitioners are apt to participate 
in them. 


" In the case of M. D. the irritability of the canal waa 
tery great, and the effect of the cauterization was cor- 
respondingly prompt and decided." 

The above case is a very near tj'pe of the one from 
my own note-book, and which is the first case that ] 
have presented. The age at which they commenced 
the habit of Onanism was the same-; my own patient, 
however, was married soon after he arrived at age. 
Both cases are highly instructive and important, for, 
when a parent finds their child is laboring under such a 
difficulty in the frequent passage of urine, they should, 
without delay, inquire into the cause. By so doing, the 
accruing difficulties that will arise from the advancing 
disease, can be averted. 

The next case also is an important one, as it shows 
how readily spermatorrheal symptoms may be thought 
to indicate almost every other disease, and, of course, 
■ the real difficulty is seldom discovered, unless the sur- 
geon is one of practical experience in these complaints. I 
am indebted, (says M. Lallemand), for the following re- 
markable case to the kindness of Dr. Daniel of Cctte : — 

" On the 26th of May, 1836, I was called to F., a 
baiter, aged twenty-two : I found him in bed, in the 
following condition : — Great moral prostration, carried 
even to a hatred of existence, prostration of strength ; 
anaenia; ; lips pale and shriveled, remarkable palidity, 
syes sunken, expression of countenance dull, great ema- 
ciation, skin hot and dry, pulse small, voice hoarse and 
so low that it was with difficulty a few words could be 
heard by approaching the ear, constant cough, scarcely 
permitting an instant's repose, general wandering pains, 
most severe in the loins and the sides of the chest, great 
irritability of the stomach — vomiting being excited after 
taking almost any kind of liquor or solid food. 

" At first, I thought that I recognized in this patient 
the symptoms of phthisis laryugea, complicated with 
chronic gastritis ; but the examination of his chest and 
abdomen did not support this opinion. The epigastric 
region was not painful on pressure ; the respiratory mur- 
mur was heard all over the chest, and percussion emitted 


a healthy sound, except under the lctt false ribs, where 
it was slightly dull, and the patient felt pain. 

" His debility did not permit me to practice abstrac- 
tion of blood ; and, indeed, the pleuropneumonia of the 
left side did not seem either very extensive or very 
acute ; I therefore ordered a large blister to be applied 
over the affected spot, and prescribed a solution of tartar 
emetic and a strict diet. The pain in the side disap- 
peared, and two days afterwards the stomach could re- 
tain milk and barley-water. Still nothing explained 
the patient's emaciation, his almost total loss of voice, 
hoarseness, and constant cough. His parents attributed 
these symptoms to hereditary phthisis, and mentioned 
that several members of the family had died of that dis- 
ease. Minute and repeated examination of F's chest, 
however, assured me that this was not the case. 

" On the other baud, the symptoms were very severe,- 
and I could not discover any visceral lesion sufficient to 
account for them. In this state of uncertainty, your 
views on spermatorrhoea attracted my attention. I im- 
mediately questioned the patient respecting his past life, 
and learned that at the age of seventeen, he practiced 
masturbation with such fury, that he had frequently 
passed aqueous semen, mixed with blood. Frightened 
by these incidents he had corrected himself completely. 
But after about a fortnight's abstinence, he noticed that 
his urine contained a deposit of thick, whitish, fiocculent 
matter. He never attached any importance to this, al- 
though during four years he observed it constantly, and 
noticed that it was more abundant after he had been 
much fatigued in his business. He observed also, that 
the last drops of urine were thick and viscid, and that a 
small quantity of viscid matter generally remained at 
the orifice of the urethra. 

"His bad symptoms first commenced at this time; 
his erections and desires entirely disappeared, and, by 
the time he had attained the age of twenty-one, he was 
obliged to give up his employment, and shortly after- 
wards, his symptoms becoming aggravated, he was 
unable to quit his bed. I examined his urine, and found 
it in the condition he had described — the deposit con- 
tained iu it being about an ounce in quantity. I noticed 
that his testicles were soft, and his scrotnm flaccid. He 


agreed to my proposition of cauterizing the pjvsrtotic por- 
tion of the urethra, with eagerness, and I performed it 
on the following day. The effect of the cauterization 
was rapid. The second night afterwards the patient 
slept soundly ; the third day a change was observed in 
the voice, and erections occurred during the night. 
On the fourth day the patient was able to get up and 
take some light food, which was well digested ; his wan- 
dering pains had disappeared ; and by the ninth day af- 
ter the cauterization, the patient's strength had returned. 
Tonic regimen and the use of sea-bathing confirmed his 

The next case especially exhibits that singular ten- 
dency of these diseases, if they go on unchecked, and 
which are sure to end in confirmed insanity. It gene- 
rally commences with the hallucination, that they are 
about to be defrauded, that everyone are aware of their 
disease, consequently they are despised, and finally, that 
they will be assassinated, for they are certain, they 
think, that society generally are leagued against them, 
and that they are the most ill-used persons living. 

" At the beginning of April, 1836, M. Emile G. was 
sent to consult me, by Dr. Cauviere, of Marseilles. He 
was twenty-five years of age, and had attracted notice 
from the brilliancy of his intellect. At twenty-one years 
of age he had been admitted an advocate in a highly- 
flattering manner. He stooped much, and, though his 
bony system seemed to announce a strong constitution, 
h'.j limbs were small and his muscles soft. His haii 
was black and thin, his skin pale, and his face without 
expression. His eyes were dull, and constantly cast 
down ; his voice weak and husky, and his general ap- 
pearance announced great timidity. His legs were 
constantly in motion. 

" I learnt that M. G. had contracted the habit of 
masturbation at school at twelve years of age, and that, 
whilst studying law in Paris at the age of nineteen, he 
found a change in his character commencing ; this I 
will describe in his own words- - 

•''At first 1 felt a gradually-increasing disgust of 


9very*iiiig 1 "2nd a constant sense of ennui. From that 
period 1 only saw the dark side of life. Thoughts of 
suicide soon afterwards occurred to me, and this state 
of mind continued for twelve months, after which other 
ideas took the place of those respecting suicide. I con- 
sidered myself a subject of ridicule, and fancied that the 
expression of my countenance or my manner excited an 
insulting gay ety in the persons I met. This notion each 
day acquired new strength ; and often, when in the 
street, or even when at my own house, or in a room sur- 
rounded by my relations and friends, I fancied I heard 
insults which were aimed at me. I think so still. At 
length, as my state became worse, I thought that every 
one insulted me, and I still think so. If any one ex- 

Eeetorates or blows his nose, coughs, laughs, or puts his 
andkercbief before his face in my presence, I experience 
the most painful sensation. Sometimes I feel enraged ; 
but'more frequently a depression of spirits, ending in 
involuntary tears. I look at no one, and my eyes are 
never fixed on any object. "Wrapped up in my own 
thoughts, I am indifferent to all external impressions. 
These signs are evidently those of imbecility. I admit 
that I may have had — and that I may even now have — 
hallucinations, but I am fully persuaded that these ideas 
are not without foundation. I am convinced that the 
expression of my countenance has something strange in 
it; that people read in my looks the fears which agitate 
and the ideas which torment me, and that they laugh at 
this unhappy weakness of intellect which they ought 
rather to pity.' 

"The patient experienced a sense of heaviness and 
oppression in his head, and, although fatigued by slight 
exercise, was constantly in motion. Two years before 
he consulted me he began to correct himself by degrees, 
and for nine months lie had entirely renounced the . 
practice of masturbation ; yet, notwithstanding this, his 
state daily grew worse. His digestion was disordered ; 
he suffered from obstinate constipation, and his erections 
and venereal desires had left him for a long time. Yet 
he did not mention the last facts — in the written state- 
ment of his case — to me ; they were minor evils ; one 
idea alone absorbed him— the conviction that he was an 
object of contempt and ridicule to all who approached 


him ; this idea was aggravated by their knowledge of 
his impotence and by shame for the cause which had 
produced it. 

" This patient's urine usually contained an abundant 
flocculent deposit, resembling a thick decoction of barley ; 
it decomposed very rapidly, and emitted a disagreeable 
smell. After every stool the point of the glans' penis 
was covered with a clammy, viscid matter, resembling a 
thick solution of gum. 

"These circumstances confirmed me in the idea that 
involuntary seminal discharges alone opposed the pa- 
tient's recovery. The frequent emission of the urine, 
the sensibility of the spermatic cords, of the testicles, 
and especially of the urethral mucous membrane and 
the injected state of the orifice of the urethra, made me 
attribute these evacuations to irritation of the spermatic 
organs rather than to relaxation. As, however, the 
patient refused to submit to cauterization, I ordered him 
iced-milk mixed with spa-water, cold lotions, &c, but 
ho found himself much worse after the use of these 
means ; all his symptoms were aggravated, and his 
urine became thicker, and left a glaring deposit ad- 
hering to the bottom of the vessel. 

" At length, on the 23d of April, I persuaded M. G. 
to submit to cauterization, and I performed it immedi- 
ately, chiefly on the neck of the bladder and the prosta- 
tic portion of the urethra ; nothing particular occurred, 
except that the inflammation of the urethra, which fol- 
lowed the application, was not entirely removed for three 
weeks. This, I believe, arose, in a great measure, from 
the severe weather which prevailed at the time. 1 or- 
dered two or three warm baths to be taken in a week, 
a few warm injections and demulcent drinks. 

" At the expiration of a month, the patient took pica- 
sure in going out, and occupied himself in gardening ; 
he felt stronger, and took longer walks ; he was able to 
employ himself longer without fatigue ; he also experi- 
enced nocturnal emissions, preceded by erratic dreams 
and lively sensations. At this he was at first alarmed, 
but he gained courage when he saw that he was not in- 
jured by them. 

" I had not seen him for more than a month, when one 
day he called on me, quite dispirited, to say that he 

' 208 

should never get well, as he was relapsing into his for- 
mer habits. 1 blamed him, but at the same time I ex- 
plained to him that the fact was a proof of his having 
regained his former virility, of which he should make 
more proper use. 

" M. G"8 mother came to me soon after, to speak of 
the propriety of marriage for her son, whom she saw ex- 
posed to various dangers. I easily persuaded her that 
before deciding on marriage, it would be necessary for 
him to be firmly assured during a considerable period of 
his perfect and decided recovery. M. G. ha.d then re- 
gained his spirits, his boldness and his position in society, 
and eighteen months afterwards, all his functions being 
performed with energy, he married. Six months after 
his marriage I heard that his health had not for a mo- 
ment been disordered. 

" With this patient 1 received the following consulta- 
tion from Dr. Esquirol : — 

" ' The undersigned cannot mistake a case of hypo- 
chondriasis which has lasted three years. It is evident 
that the nervous affection was produced by the habit of 
masturbation to which the patient was addicted from 
the age of puberty, and of which he only succeeded 
in breaking himself seven months since. The hypo- 
chondriasis continues very obstinately, as the cause 
which produced it acted for a long time, and very seri- 
ously weakened the nervous system. The undersigned 
attributes the little success attending medical treatment 
to the unfavorable weather, to the indocility of the pa- 
tient, who lives in seclusion and in physical and moral 
torpor, and to the weakness of his mother, who allows 
herself to be led away by the sight of false or exagge- 
rated suffering^. The means advised are those usually 
ordered in cas«s of hj'pochondriasis : — Tonics, anti- 
spasmodics, leeches to the anus, purging, change of 
scene, traveling, sulphuretted baths, sea-bathing, &c.' 

" Dr. Esquirol sums up his opinion in conclusion, as 
follows : — ' I must repeat what I have said above — weak- 
ened evacuation is the cause of the disease, and every- 
thing which can strengthen the nervous system, will 
be useful. It was clear that masturbation had been the 
first cause of the physical and moral derangement, called 
hypochondriasis ; but the patient had renounced this 


vice during nine months, and his state became worse 
daily, Instead of improving. It was evident, therefore, 
that some other cause acted in keeping up the disorder ; 
and it was just as evident that this cause was involun- 
tary diurnal discharges. 

" It is not necessary for me to show that masturbation 
can, acting alone, induce involuntary discharges, or that 
the cure was due to cauterization only, although its ef- 
fects were not manifest for a month after the application 
of the caustic ; but I must insist on the pathological 
condition of the genital organs exciting these involun- 
tary evacuations, since they have been too frequently 
ascribed to a state of debility or relaxation of the 
tissues. The tonics ordered by Ksquirol had produced no 

" ' I have described the symptoms which led me to sus- 
pect acute irritation of the prostatic portion of the ure- 
thra, and I have shown the injurious effects of cold 
lotions, iced-milk, spa-water, &c. It was -then, not by 
causing contraction of the orifices of the ejaculatory 
ducts, that the cauterization produced its beneficial ef- 
fects, but by dispersing the chronic engorgement of the 
mucous membrane. The advantage derived from warm 
baths during convalescence corroborates this opinion.' 

" In M. G's case a predominating symptom attracted 
the attention of the practitioners ; hence they looked on 
the disease as being hypochondriasis, monomania, or 
hallucination, continuing after the separation of its ex- 
citing cause, and becoming consequently, an idiopathic 
affection. I have, however, shown that all the functions 
had been altered more or less ; I should add, that the 
digestion was the last to be re-established perfectly. 
Such mistakes are very common and very serious, and 
I cannot too strongly impress their importance on the 
attention of the profession. 

" Esquirol justly stated, the hypochondriasis took its 
origin from masturbation ; that the nervous system was 
weak and excited. But ho mistook the cause which kept 
up this condition of the brain. When masturbation has 
not induced involuntary seminal emissions, recovery soon 
follows, on leaving off the habit which has destroyed the 
health. Within a week the patients begin to experience 
a notable improvement, and in a very short time they 


are hardly recognizable, whatever may have been the 
degree of weakness to which they were reduced. 

" But when Dr. Esquirol wrote his opinion, seven 
months had elapsed, during which M. G's conduct had 
been irreproachable, and when I saw him two months 
after, his state was even worse, although he had never 
resumed his former habits. The symptoms were, how- 
ever, kept up by involuntary diurnal discharges. 

"The effects of cauterization were very conclusive, 
and so soon as its curative action was felt, the patient 
of his own accord, took various kinds of exercise, and 
sought out the different amusements which had been 
in vain ordered for him previously ; he entered into so- 
ciety, and did, without being pressed, all that he had 
before refused to do ; his ideas, and his necessities al- 
tered in proportion as his functions were re-established. 

" ]t is in vain that we say to the so called hypochon- 
dria) — Amuse yourself, employ your mind, go into society, 
seek agreeable conversation ; so long as we have not re- 
moved the cause of his disorder, he is unable to profit 
by our counsels. How can we expect that when a man 
is fatigued by the least exercise, he shall occupy him- 
self with walking or gardening 1 How can we desire 
him to go into society, when the simple presence of a 
woman intimidates him, and recalls all his former mis- 
fortunes 1 How can we expect him to enjoy conversa- 
tion when he loses its thread every moment 1 When 
his memory leaves him, and he feels his nullity 1 We 
persuade him to seek amusements and pleasures, but are 
they such to him 1 Is not the happiness of others, his 
greatest punishment t Because he is unable to follow 
our advice, we accuse him of unwillingness, and we wish 
to compel him. Let us first remove the cause of our 
patient s disease, and we shall soon see that his character 
and conduct will change, and that he will return to his 
natural tastes and habits. 

" It is not long, in such cases, before we are em- 
barrassed by questions about the propriety of marriage 
being put to us. This is a matter which is serious ip 
all its aspects, and on which the least scrupulous should 
not pronounce, without having had sufficient assurance ol 
their patient's health is now not the only one, nor is 
even his future happiness alone implicated ; the fute of 


the innocent being who is about to be associated with 
him is the matter of chief importance, aad justice to 
her demands that we do not counsel matrimony until 
sufficiently long proof has been given that our patient's 
re-establishment is permanent." 

The above case will satisfy every one who are afflict- 
ed, or who have been subject previously to the habit. 
or to the emissions, and may be, who have married' 
without having first been cured, but who think they 
a £ e T? U enou S h > y et the y do n °t feel exactly as they 
snould; or they may have been under treatment, and 
supposed themselves convalescent ; but yet the testicle 
on the left side is weakened, and hangs 'lower than the 
other, or than it should ; the veins, no doubt, are en- 
larged, or when you take the testicles in your fingers 
there is a feeling like worms collected together. Both 
testicles may be involved, and sometimes they swell and 
feel tender, especially if the person has been indulging 
in spirituous liquors, or has a severe cold ; the desire for 
connection finally grows less ; the person becomes weak, 
and will soon go to an early grave, probably an idiot. 
All through these different stages there is either a 
visible or invisible loss of semen, which must be 
stopped, and as I have just said, should satisfy every 
one there is no time to be lost, or they may be past re- 
covery, for, so long as the spermatorrhoea continues, no 
cure can be expected, but, on the contrary, the patient 
must go on from bad to worse, notwithstanding all that 
can be done for him. In addition to what I have said 
as to the origin of this vice, I will insert what M 
Lallemand says on the same subject : — 



" These may be divided into t*o classes : — First, 
causes inherent in man, or those acting from within ; 
these may be considered as predisposing causes ;■ 


secondly, external causes, or those arising from acci- 
dental circumstances, and these may be considered as 
exciting causes. 

" Internal or predisposing causes. — Of the first class 
3f causes, the mast important is undoubtedly due to the 
Human organization. In the lower animals the male 
and female live together, as if there were no difference 
of sex, except during the short rutting season. This 
period passed, perfect calm is restored. In the human 
species, the secretion of semen constantly goes on, from 
the time of maturity until extreme old age ; the secre- 
tion may, indeed, be increased or diminished by excite- 
ment or repose of the organs ; but, during this period 
it is never entirely suspended as long as the secreting 
tissues are healthy. Still, this universal and important 
fact has been much neglected ; its application is evident. 

" The form of the superior extremities in the human 
race also possesses a considerable influence in predis- 
posing to abuse. Many animals are always fit for fe- 
cundation, spermatozoa being found in them at all 
seasons. They are, however, unable to excite seminal 
impressions without the aid of the female. Other ani- 
mals, again, which, during the rutting season, show an al- 
most incredible amount of erotic fury, are still unable, by 
their own actions, to cause spermatic discharges ; their 
form alone prevents this, for they often attempt it, and 
a few even succeed. It is wefl known with what fury 
apes are addicted to masturbation — the ape being, of all 
the lower animals, the nearest to man in form. To this 
origiual disposition, more perfect in man than in any 
other animal, must be added the influence of patho- 
logical causes. 

" I have already spoken of the irritation caused by 
ascarides in the rectum, of the erections they excite, and 
of the abuses induced by them. We shall see, by and 
by, that herpetic eruptions on the penis and prepuce 
tnay produce the same effects, and T shall show also, 
that an accumulation of sebaceous matter, between the 
prepuce and glans, may have a similar influence. 1 
must also mention irritation of the cerebellum as in- 
ducing serious abuse, of which I shall give eases in their 
proper place. • 

" There is even somo connection between the organ* 


ot generation and distant diseases ; for Dr. Desportes 
has mentioned a kind of angina which is frequently pre- 
ceded by a considerable increase in the venereal desires, 
and, consequently, by a disposition to all kinds of 
abuses. Pulmonary phthisis also is often attended by 
considerable venereal excitement. It may as well 
then be at once admitted, that causes predisposing to 
masturbation exist in the human organization itself. 

" External or exciting causes. — Of these I shall lay 
particular stress on such as act before puberty, because 
they have hitherto attracted very little attention. The 
most anxious parents believe that there is no occasion 
to watch over the actions of their children with regard 
to their genital organs, previously to the epoch of pu- 
berty ; and few, even of our own profession, are led to 
suspect bad habits before that period. This is a fatal 
error, against which it is necessary to be on our guard ; 
numerous causes may give rise to abuses at a much 
earlier period — infancy being hardly exempt from them 

" I saw one unfortunate child, which, while still at the 
breast, nearly fell a victim to the stupidity of its nurse. 
She had remarked, that handling the genital organs ap- 
peased its cries and induced sleep more easily than any 
other means, and she repeated these manouvres without 
noticing that the sleep was preceded by spasmodic move- 
ments. These increased and took on a convulsive cha- 
racter, and the child was losing flesh rapidly and be- 
coming daily more irritable, when I was consulted. At 
first I attributed the disorder to worms, teething, &c, 
but my attention being attracted by certain signs, I 
examined the genital organs, and found the penis erect. 
I was soon told all, for the nurse had no idea she was 
doing wrong. It was necessary to dismiss her, for her 
presence alone sufficed to recall to the child's memory 
sensations which had already become a habit. Time 
and strict watching were required before these early im- 
pressions were entirely effaced. 

" Dr. Deslandes relates two similar cases, and Pro- 
fessor Halle, in his lectures on hygiene, used to mention 
many such ; Chaussier too told me of several that came 


under his notice ; and both these observers believed such 
cases to be less rare than they are usually considered. 
These manouvres quiet the children very readily, and 
nurses always endeavor to obtain quiet at any sacrifice ; 
they have no idea of .the consequences of their conduct. 
At a later period, children are exposed to the same 
dangers, on the part of the servants having them in 
charge ; and in these cases it is not of ignorance that 
the attendants are to be accused. Many patients have 
consulted me who owed their disorders to this cause ; 
and in Case 61, I have shown the influence which such 
early habits exerts on after-life. 

"In some children there is a kind of precocity of 
sexual instinct, which leads to very serious results. In 
these it often happens that the sexual instinct arises 
long after puberty ; such children manifest an instinctive 
attraction towards the female sex, which they show by 
constantly spying after their nurses, chambermaids, &c. 
These freaks of children are usually laughed at, but if 
they were regarded with more attention, it would be- 
come evident that the sexual impulse has been already 

"Rousseau, in his confessions, has well described the 
influence which early sexual impulse exercised on his 
whole life, and I have received numerous confidences of 
the same nature, which, however, it would be of no 
service to relate here. One case, however, is so re- 
markable, that an abstract of it may be instructive : — 


"M. D., the son of a distinguished physician, between 
live and six years of age, was one day in summer, in the 
room of a dressmaker who lived in his family ; this girl 
thinking that she might safely put herself at her ease 
before such a child, threw herself on her bed, almost 
without clothing. The little D. had followed all her 
motions, and regarded her figure with a greedy eye. 
Ho approached her on the bed, as if to sleep, but he 
soon became so bold in his behavior, that, after having 
laughed at him for some time, the girl was obliged to 
put him out of the room. This girl's simple imprudence 
produced such an impression on the child, that, when 


he consulted me, forty years afterwards, he had not for- 
gotten a single circumstance connected with it. The 
continual occupation of his mind by lascivious idea3, 
did not produce any immediate effect, but, about the 
age of eight, the most insignificant occurrence served 
to turn his recollections to his destruction. Having 
mounted one day on one of the movable frames which 
are used for buckling coats, he slid down the stem which 
supports the transverse bar, and the friction occasioned 
caused him to experience an agreeable sensation in his 
genital organs. He hastened to remount and to slide 
down in the same manner, until the repetition of these 
frictions produced effects which he had been far from 
anticipating. This discovery, added to the ideas con- 
stantly before him, gave rise to the most extraordinary 
abuses, and, after a time, to excessive masturbation. 

" I need not mention all the miseries which followed 
this fatal passion ; it will be sufficient for me to relate 
the means to which he had recourse for its correction. 
He slept on a very hard bed without a shirt, in order to 
avoid friction, and covered by a single coverlet sus- 
tained by a cradle ; his arms were raised, and crossed 
above his head ; a servant remained by his side during 
the night, with orders to awake him if he changed his 
position. When he got up, ho put on next his skin a 
shirt of mail weighing twenty-two pounds, resembling 
those worn by the knights of old, except that it had no 
sleeves, and that it was attached, at its lower extremity, 
to a silver basin, fitted to receive the genital organs, 
and provided with openings for the thighs. This shirt 
of mail was in front, in order to be easily put on and 
taken of; and when on, it was laced up with a steel 
chain, a padlock being attached to the end, the key of 
which was kept by the servant, who had orders not to 
give it up on any pretence whatever. Guarded by the 
silver basin, the genital organs were completely re- 
moved from the touch, a little opening only being left 
for the discharge of the urine. As a still greater pre- 
caution, the patient had caused four sharp points to be 
fixed in front of this case, in order to directly oppose 
any erection. This apparatus he continued to wear for 
nine or ten years, although it frequently caused inflam- 
mation of the testicles and spermatic cords, by it» 


pressure. Notwithstanding all these precautions, the 
patient's moral and physical condition were deplorable, 
which led me to suspect the presence of diurnal pollu- 

" I should observe, that in all cases of which I have 
just spoken, the children were five or six years of age — 
at most eight — that they did not show signs of puberty 
for several years afterwards, and that they were not ex- 
posed to the influence of bad example. Their sexual 
ideas were, therefore, spontaneously developed several 
years before the development of the genital organs. 
The same precocity is often observed in children of the 
other sex. Of this I shall treat more fully hei eafter ; 
at present 


I shall merely call attention to the case related bj 
Parent Du Chatelet, of a little girl, who, after the age 
of four years, gave herself up to the most unbridled 

" From these facts, an important scientific conclusion 
may be adduced, viz : that in many children the geni- 
al instinct shows itself with much energy, many years 
before the age of puberty. 

" A no less important practical precaution presents 
itself, viz : that the age of puberty should not be 
waited for, in order to surround children with prudent 
circumspection and to prevent their curiosity from be- 
ing gratified. 

" Many parents are remarkably careless on the latter 
point ; they permit children of both sexes to play to- 
gether, promiscuously for hours, without any surveil- 
ance, provided that they are removed from all clanger 
of accident, and that their noise is not annoying. The 
soufidence of man_y parents, also, in the ignorance of 
their children, makes them careless of the marks of 
.'amiliarity which are given to each other in their pre- 
sence ; children's sleep is not always so real or so sound 
as it seems. 

" It is sufficient to point out these facts — every per- 
son can deduce the conclusions ; and now 1 hasten to 
consider a question, the gravity of which has been al- 


lowed by all who have written respecting masturbation 
— I meSn, the influence of example in educational 

" If I may judge from my own observation out of ten 
persons whose health has been deranged immediately or 
recently from the effects of masturbation, nine first con 
tracted the habit at school. All that 1 have read on the 
subject has led me to conclude that this proportion is not 
exaggerated. A child brought up in the bosom of his 
family is, it is true, surrounded by many causes sufficient 
to arouse his curiosity and excite his imagination ; but 
such causes act accidentally, and in an isolated manner — 
they only produce a serious effect on a few ardent imagi- 
nations ; a thousand circumstances may remove the at- 
tention from them. At school it is admitted that such 
causes do not exist ; but there are others less numerous 
and less varied, but which operate in a much more active 
and continuous manner ; the effect of these are direct 
and almost inevitable. The child finds on his first ar- 
rival a focus of contagion which soon spreads itself 
around him ; the vice is established endemically, and is 
transmitted from the old pupils to those newly arriving. 
If a few privileged individuals escape being initiated, 
they are only such as do not experience any gratifica- 
tion. But their time will come at a later period — when 
the passions make themselves felt — the same circum- 
stances will be presented to the mind under a less dis- 
gusting aspect. 

" I shall not enter into details on this subject ; but 
from all that has come to my knowledge from various 
and direct sources of information, I do not hesitate to 
affirm that nowhere are obscene books circulated more 
freely and boldly than in educational establishments ; 
that the origin of the vice is not solely in the scholars, 
but also in the ushers and servants ; that the abuses are 
not always confiued to masturbation, and that they are 
not always propagated by example or persuasion, but 
are sometimes enforced by threats and violence. Let it 
not be thought that I am now speaking of rare and ex- 
ceptional cases, or that I exaggerate — I possess multi- 
plied and convincing proofs of my assertions ; I would 
not either that I should be misunderstood. I am fat 
from denying the advantages of education in a publi( 


school, and 1 am ready to admit that the competition 
among a number of children produces emulation, forms 
the future character, early shows each his own value, 
and lays the foundation of friendships which endure 
through life." 

A too sedentary life is injurious at all ages, especially 
in childhood, when there exists such constant desire for 
exercise and change. Gymnastics, therefore, should on 
this account alone occupy an important position in the 
system of education ; but they must be viewed under a 
much more serious aspect. Nothing can prevent the 
genital organs, at the time of their development, from re- 
acting on the economy and giving rise to new sensations 
and ideas. It is impossible to prevent the attention 
from being attracted by the impressions caused by these 
organs ; impossible to restrain the imagination and to 
prevent it from frequently dwelling on such impressions. 
The slightest circumstance may in such a case, lead to a 
fatal discovery, even if the information be not transmit- 
ted directly and enforced by example. How are such 
discoveries to be prevented, or rather how are their re- 
sults to be guarded against t Study gives us no aid 
here ; indeed, the continued sitting necessarily heats the 
organs, already too excited. The eyes may be fixed on 
the book, the ears may appear to listen to the master, 
but who can guard against the wandering of the im- 
agination 1 At night it is still worse ; no surveilanco 
can prevent this. There exists only one means capable 
of counteracting it, and that is, muscular exercise, carried 
so far as to induce fatigue. This alone is able to deaden 
the susceptibility of the newly acting organs which ex- 
cite the economy ; exercise alone, by requiring matter 
for the repair of the muscular waste it causes, withdraws 
a stimulant from the genital organs, and induces sound 
and refreshing sleep. 

Dr. McDonald says, M. Lallemand speaks of the col- 
leges and private schools in France, but that he regrets 
to say that his statements apply with nearly their 
whole force to the schools of England. Vice is common 
in them ; neglect of physical education, and the contract- 
ed nature of the studies to which pupils arc confined in 
our classical seminaries — the understanding being unap- 
pealed to, and the reasoning faculties unexercised — the 


natural sciences neglected, and the whole of the pupil' 
life until the age of seventeen, employed in the study of 
the dead languages — are matters of vital importance, to 
which society has only recently begun to direct its atten- 
tion. He says also, that M. Lallemand enters very 
fully on the subject of education as conducted in franco, 
and well exposed the errors of the system. Most of his 
remarks apply to our own educational system, yet ae 
the subject is not strictly medical, and as, moreover, M. 
Lallemand has treated it at considerable length, I think 
it best to refer those of my readers who may wish in- 
formation on it, to the original work. 

These remarks will apply to the schools everywhere, 
in all other countries, and especially can I say so in re- 
spect to the schools on this continent. 



" I think it will be useful for me to give a few details 
respecting the different kinds of abuse which have coma 
under my notice, and of which I have seen the hurtful 
influence on the genital organs. I shall omit all such 
remarks as have not a strictly practical bearing. 

" We have already seen the dangers to which com- 
pression of the urethra, to prevent the discharge of 
semen during ejaculation may give rise, (Case 35), of 
Lallemand. In the case I have related, it seems likely 
that a rupture took place in the mucous membrane, be- 
cause the patient felt, at the instant, an acute pain, and 
the following day a discharge commenced, which con- 
tinued until the application of the nitrate of silver. 
Soon after the commencement of the discharge involun- 
tary seminal emissions occurred, attended with serious 
symptoms. It was immediately behind the glands that 
this patient compressed the urethra, and it is quite con- 
ceivable that the sudden and violent distention of the 
canal might cause a tear in the mucous membrane ; but 


this is not always the case. One of my patients writes 
as follows : — 

CASE xxrv. 

" ■ At the age of fourteen I practiced masturbation 
three or four times a week, and sometimes frequently 
during the day. In order to prevent the discharge of 
semen, I compressed the root of the penis firmly. No- 
thing escaped at this time, but I soon observed that the 
semen was discharged with my urine the first time I 
passed it. I followed this practice for about two years.' 

" Diurnal pollutions soon appeared, and grew more 
and more serious. " The remainder of the case presents 
nothing which is not met with in all cases of sperma- 
torrhoea. What I wish to call attention to here is, that 
the compression was made close to the orifice of tho 
ejaculatory ducts, and that the patient thought at first 
that his manoeuvres were not followed by any loss of 
semen, although he at length discovered the contrary. 
Fournier and Begin report a similar case : — 

case xxv. 

" It was that of a young man, who, at the moment of 
ejaculation compressed the most remote parts of the 
urethra, so that not a single drop of semen could escape ; 
yet the result was the same as in ordinary cases. Not- 
withstanding his precautions, his strength diminished, 
and his disorder made just as rapid progress as if tho 
seminal emission had been perfect. 

" The following is even a more remarkable case. I 
shall allow the patient to speak for himself: — 

case xxvi. 

" 'I am thirty-two years of age, and I have had noc- 
turnal emissions from the age of fourteen ; I have also 
suffered from discharges while at stool, for ten years. 
The cause of these pollutions cannot be referred to 
masturbation, for I have not practiced it twenty times 
during my whole life. The pollutions are rather owing 
to reading obscene books, for they commenced sooc 


after. At first, ejaculation was preceded by dreams b 
and accompanied by active erections and acute sensa- 
tions, the semen being ejaculated with force. I tried 
various means to prevent these discharges. I have 
slept, during whole nights, with my penis dipped in 
cold water, or compressed between two pieces of wood 
formed for the purpose. I have tried to keep myself 
awake in order to prevent an emission, because, when I 
succeeded, the following day I felt stronger ; but, after 
two or three nights, sleep always overpowered me. I 
often awoke, however, in sufficient time to prevent the 
catastrophe of my dreams, but frequently it was too 
late ; on such occasions, to delay the discharge or to 
render it less copious, I compressed the base of the penis 
firmly ; but it seems that these compressions greatly 
injured the parts, without preventing or diminishing the 
discharge, which took place inwardly, as I have often 
been convinced by inspecting my urine. From that 
period the pollutions have no longer been preceded by 
dreams, and the sensations have left me, so that I am 
not now aroused from sleep. My erections diminished, 
and have even latterly ceased entirely. For three years 
erections have rarely accompanied the emissions ; when 
they do occur, I am always less fatigued. There is one 
thing which I have not been able to understand, and 
which will, without doubt, appear absurd to you ; it is, 
that I experience pollutions without erection, sensation, 
or the escape of semen by the urethra. I believe that 
the discharge passes in a retrograde direction and be- 
comes mixed with urine,, because the next morning I 
find little globules, a cloud and filaments in that fluid, 
just as formerly, when I prevented ejaculation by com- 
pressing the root of the penis ; whilst my urine contains 
nothing during the day or the next morning, when I 
have not experienced these pollutions. On waking 1 am 
perfectly aware of what has occurred, by the sweat that 
covers my face, the fatigue I feel in all my limbs, the 
headache and dizziness that affect me, the dark circles 
that surround my eyes, &c. I have tried cold and iced 
applications with slight benefit. For some time the 
pollutions were rarer, and were accompanied with erec- 
tion and sensation ; but soon they became as before, and 
emission did not take place outwardly. These internal 


pollutions have always been the most weakoning 
Whenever I succeed in passing the night without sleep 
my urine is transparent in the morning, and I feel 
Btrong. After several nights without sleep, I generally 
have an energetic emission, which fatigues me little ; 
but soon those without erection and without external 
discharge return, and then I always feel worn out on 

" This patient's medical attendant would not believe 
in the possibility of pollution without the external dis- 
charge ; but it seems clear that the patient really had 
internal emissions without perceptible discharge ; that 
is to say, that the semen passed into the bladder, and 
was discharged with the urine, as had occurred before, 
when ejaculation was prevented by pressure on the pe- 
reneum. This compression was made in front of the 
ejaculatory ducts, and was very often repeated. It seems 
therefore likely that it was the frequent repetition of 
these manoeuvres that at length caused the spontaneous 
passage of the semen into the bladder. But this is a 
question to which I shall have occasion to return. 

" Yet all these manoeuvres scarcely differ from the vari- 
ous means recommended by some surgeons for prevent- 
ing nocturnal pollutions;, and we may then perceive 
how little confidence is to be placed in the instruments 
invented for that purpose, and the inconveniences to 
which they may give rise. It seems likely that the dan- 
gers would be nearly the same, in whatever part of the 
penis the compression is made ; except if there be suffi- 
cient space in the urethra, between the point compressed 
and the ejaculatory ducts, to contain all the semen, it 
would be discharged directly the compression is re- 
moved. When, on the other hand, the compression is 
made immediately in front of the orifice of the ejacula- 
tory ducts, the semen flows back, at least in a great 
measure, so as to induce the patient to believe that the 
discharge had been stopped, or, at all events, in a great 
measure diminished, and to induce a degree of security 
which leads to further abuses. 

'■ But to return to the description of the abuses 
which have been admitted to me by so many other pa- 
tients: — 



" One of these informed m«, that about the period of 
puberty, while hanging one day by his arm, he experi- 
enced an energetic erection, accompanied with pleasure, 
and that by his efforts to raise his body, he caused an 
abundant seminal emission. This was the first. The 
next day he repeated the same motions, and noticed 
the same phenomena, and from that time he knew no 
other pleasure. From the principles which had been 
early instilled into him, he would have thought himself 
degraded by connection with a female, or by the least 
manual contact with his genital organs ; but his con- 
science was quiet with regard to these practices, because 
they had not been forbidden him. He continued, there- 
fore, to hang by the hands, from the furniture, doors, 
&c, without being suspected by anyone, and fell by de- 
grees into a state of debility and wasting, equal to those 
caused by the most unbridled masturbation. After a 
time, from weakness the patient lost the power of hang- 
ing, and his voluntary emissions ceased ; but they were 
soon replaced by nocturnal emissions, which were very 
difficult of cure. 


" The following are a few passages from a letter 1 
have recently received : — ' Being of an ardent tempera- 
ment, I abused myself from the age of eight years, by 
practicing masturbation, or rather, by still more hurtful 
manoeuvres. By compressing the penis between my 
legs, or against the seat on which I was sitting, I pro 
dueed excitement, which was commonly followed by the 
discharge of a few drops of viscid and transparent fluid. 
This practice I repeated several times a day, up to the 
age of sixteen, when I ceased entirely, having been 
frightened by the discharge of nearly pure blood, which 
occurred several times. From this timo I only sought 
natural enjoyments, but I found it impossible to obtain 
a complete erection. This state was attributed tc 
weakness, and was combated by tonics, stimulents, 
and even irritants of all kinds, which have done me 
much injury. 1 used also cold bathing and cold lotions 



" I have seen an officer of high rank who had fallen 
nto the same condition, from the practice of similar 
nanoeuvres. He experienced the first sensation against 
the leg of the table, at the early age of ten years, and 
continued for several years to employ the same means 

case xxx. 

" I have already related the case of another child, 
who allowed himself to slide down a wooden pole, and 
the deplorable influence which this circumstance ex- 
ercised on the remainder of his life. 

" In a few of my patients, horse-exerciso caused the 
first seminal emissions. I shall relate, by and by, the 
case of one of those who knew scarcely any other plea- 
sure, and who became quite impotent at the age when 
virility generally is the greatest. The extreme sus- 
ceptibility which the genital organs manifest at the 
period of puberty, should prevent horse-exercise from 
being commenced about this time, as is usually done. 
It should be begun a few years earlier, or a few years 

" I have already spoken of the danger of allowing 
children to sleep on the abdomen, (see Case 33, Lallo- 
mand.) I should add, that many of my patients thus 
contracted habits which ruined their health. Inde- 
pendently of the inconveniences to respiration, diges- 
tion &c, which arise in this position, erections are 
favored. The least friction awakens new sensations, 
and, once on the track, progress is soon made. Some- 
times recollections have caused the choice of this po- 
sition ; of this I have related a remarkable example, 
(see Case 34, Lallemand) ; at other times, scruples early 
instilled by a sage foresight, but which the violence of 
the impulso has at length succeeded in eluding, have in- 
duced it. 


" Thus, 1 havo been told, respecting one of my pa- 
tients, that he would suffer death rather than, defile 


himself by touching the genital organs ; yet, for fire or 
six years, he* seldom passed a night without working 
his own destruction while lying on his abdomen. It is 
not necessary for me to enter into a description of the 
other means by which patients have sought to satisfy 
their genital impulses, without transgressing the re- 
ligious and moral principles which had been taught 
them from infancy. Suffice it to say, that if they have 
succeeded in satisfying their consciences, they have not 
succeeded in preserving their health. 

" But to abstain from all direct action on the genital 
organs, is not always sufficient to preserve the patient 
from serious disorders. A purely nervous excitement, 
awakened by other senses, or directly produced by 
erotic, may bring the same results as the worst abuses, 
if prolonged or repeated erections are caused by it. 
The following are a few such examples : — 


" A student aged twenty-two, born in Switzerland, of 
sanguine temperament, and great muscular power, fell 
into the most complete state of impotence, after having 
been for some time exposed to ungratified excitement. 
He had never practiced any solitary vice ; but violent 
and prolonged erections came on, and were produced 
during the day by the influence of the memory. These 
erections caused abundant and frequent nocturnal em\s- 
sions. Absence put an end to the excitement. Tt:^ 
nocturnal pollutions diminished by degrees, and at length 
ceased entirely. Yet this patient fell into the same 
state of impotence as if he had committed the greatest 
excesses in masturbation, and at the same time pre- 
served the appearance of health and strength. The 
cause of his impotence was evident on examining hi. 1 
urine, and causing him to watch for diurnal pollution 
while at stool, but the cure of these pollutions was only 
perfect after two years' treatment. 


" I have seen another case of the same kind, in a 
ypung man who passed from a state of habitual priapisrj 


to one of absolute impotence, without any other cause 
than violent excitement of the genital organs by an ar- 
dent attachment ; he had never given way to excess.oi 
any kind. 


" I also had under my care an English officer, who 
left Calcutta in perfect health, and arrived in London 
completely impotent, after having suffered during two 
months from almost constant excitement, caused by the 
presence of a female on board ship. This state, so op- 
posed to that which had preceded it, continued for two 
years — the whole of this time not being marked by the 
least sign of virility. It is scarcely necessary to add that 
this state was produced by diurnal pollutions. 

" I related a case a few pages back, in which noc- 
turnal pollutions were caused by reading an obscene 
book; and I have seen a multitude of cases of this na- 
ture. From these I conclude, that in certain very ex- 
citable'individuals, reading such works, the sight of 
voluptuous images, lascivious conversation, in a word, all 
things that can excite or keep up irritation in the sper- 
matic organs, are capable of producing the same effects 
as actual abuse, even when the will is sufficiently power- 
ful to prevent the thoughts from leading to the acts. 
On the other hand, an abundant secretion of semen with 
importunate erections, irritation of the urethra and pro- 
state, always results under such circumstances, and 
those favor the occurrence of nocturnal and diurnal pol- 
utions, as serious and perhaps more difficult of cure than 
uhose produced by masturbation, because it is impossible 
10 act directly on the memory or imagination. 

" It is not sufficient then to prevent all material action 
on the genital organs ; it is necessary also to prevent all 
ero-ic excitement of the senses and all concentration of 
the ideas on lascivious objects. Fortune's favors are so 
distributed, that numbers live in absolute indolence 
without being blamed by the world, because they de- 
mand nothing from any one. This inaction producei 
results, the only remedy for which that I am aware of, in 
daiiy fatigue of the body by various kinds of oxer- 




The effects produced by the different kinds of abuse 
of which I have been treating, vary according to the age 
of the patient, his idiosyncrasy, and the different organs 
chiefly affected. I have laid particular stress on the 
causes which may lead to bad habits some time before 
puberty. I must now consider their effects during this 

" The symptoms arising from masturbation in the 
child, (says Lallemand), have been always hitherto 
confounded with those produced in the adult ; they pre- 
sent certain distinctive characters, however, which re- 
quire our consideration. However young they may be, 
children lose flesh and become pale, irritable, morose 
and passionate ; their sleep is short, disturbed and 
broken. They fall into a state of marasmus, and at 
length die, if not prevented from pursuing their course. 
Examples of suoh a termination are so well known that 
I forbear to quote them. 

"Analogous symptoms are shown in the adult — follow 
nearly the same course — and may lead to the same ter- 
mination ; but in infancy, more or less severe nervous 
symptoms are superadded, which are not fouud in those 
who commenced the practice after puberty, or which at 
least are not in the latter case manifested to the samo 
extent ; such are spasms and partial or general convul- 
sions, eelampsia, epilepsy arid paralysis, accompanied 
with contraction of the limbs. These phenomena were 
present in all the children whose cases I have noticed, 
and numerous similar facts have been published by dif- 
ferent authors. Contractions of the limbs have been 
well investigated by Dr. Guerston, and he notices that 
they especially affect such children as are lank, un- 
healthy looking, nervous and worn out by bad habits. 
The following case is sufficiently remarkable :- - 


" In 1824, a woman brought her son, eight years old, 
to the hospital St. Eloi ; he had lost the use of his lower 


extremities for sorn« months. The limbs were fixed, 
drawn together, and all the muscles contracted. The 
child was extremely thin, and his intellect was much 
disturbed. Masturbation, the cause of all these dis- 
orders, had only been discovered by his mother a few 
weeks before she placed him under my care, but she had 
used every. means she could devise to prevent it without 
effect. After two or three trials I found that it was of 
no use trusting to the straight waistcoats and other 
meaus usually employed, and accordingly I determined 
to pass a gum-elastic catheter into the bladder, and to 
fix it so that the patient should be unable to withdraw it. 
The presence of the foreign body excited inflammation 
of the urethra, as I expected ; when this occurred I 
withdrew the instrument, but replaced it as soon as tho 
inflammation had subsided. I kept up in this manner a 
constant state of inflammation for a fortnight, which ren- 
dered the parts so painful that the child was unable to 
touch them. This treatment produced more decisive 
success than I had ventured to hope. Within eight days 
the lower extremities had regained sufficient strength 
and mobility to allow the child to get up; and in 
another fortnight he was able to run about the yards 
I then sent him away, threatening him with a return of 
the same treatment if he relapsed. Tho pain caused by 
the catheter seemed to have removed all the other im- 
pressions, for his health continued good, and growth 
followed its ordinary course. 

" I have since employed the same means in many 
cases with just as much success, and I think it more sure 
than any other, because it i! impossible to rely on the 
patient's will or on the assiduity of those who are ap- 
pointed to watch over him. In children too it leaves an 
impression on the memory which is often sufficient to 
destroy the empire of habit and to prevent a return to 
the former manoeuvres. 

" But to resume the consideration of the symptoms 
observed in children: In childhood, seminal emissions 
are never experienced, but, nevertheless, the patients 
fall into a state of marasmus, to which some even suc- 
cumb. Theso effects, like those observed under the 
same circumstances in the female, have inducod some 
authors to leave out of their consideration the seminal 


discharges which are produced by the same acts at a 
later period. They have attributed the debility, which 
follows all abundant discharges of semen, to the nervous 
excitement and convulsive motions which usually ac- 
company the discharge. 

" The accidents observed before puberty are evidently 
only due to tho effects on the nervous system, and the 
same sensation accompany voluntary emissions after pu- 
berty ; it is natural to suppose that the nervous system 
plays as activo a part then as in childhood. I willingly 
admit the importance of this nervous exhaustion in 
whatever manner it may be supposed to operate ; and, 
supposing even that its action on the economy is just as 
important as during childhood, (which is not the case, 
as I shall presently show). This is no reason why the 
actual discharges should not be taken into account, 
seeing that they greatly modify the character and con- 
sequences of the nervous disturbance. 

" I have aiready noticed that the symptoms produced 
by abuses during childhood, present a spasmodic cha- 
racter ; this character, without doubt, is derived from 
the predominance of the nervous system at that time, 
rendering children so alive to external impressions. 
This excessive sensibility also explains the great dis- 
order of the economy which children suffer from such 


" Deslandes relates a case, showing that any action 
of the same kind may produce the same effects at thU 
early age. He says, 'An observer worthy of credit, 
Dr. Nurambeau, has communicated to me the case of a 
child who procured himself similar sensations by drawing 
out the navel. His health became much disordered 
from the effects of this strange habit, which had such a 
power over him that coercive measures were required for 
its correction. It is worthy of remark that this patient 
showed neither erection nor any other phenomenon of 
the generative organs which at all referred to sexual 
intercourse. The organs of generation, therefore, had 
no influence in producing the sensations experienced 
by this child; but the repeated titilatiou of a very 


iensitive part produced the same disorder as mastur- 

" It was proved in the debates on a recent criminal 
trial, that death may be caused by prolonged tickling 
>l the sole of the foot. Nervous disorders, arising from 
?ueh proceedings, may then be carried so far as to cause 
.leath, and from this may be imagined the effects of the 
multiplied convulsive shocks which irritable children 
oroduce, by acting on the most sensitive organs in the 
iconomy. Every excessive loss of semen also, even 
irhen unaccompanied by sensation, is followed by de- 
Bility, and this may be carried so far as to cause death. 
I have related several such cases in the beginning of 
jhis work. 

" There exists, then, two distinct causes — nervous 
listurbance and debilitating discharges, and both these 
lot a,t once when seminal emissions are produced by the 
influence of the will. It is not to bo wondered at that 
both these causes should produce nearly the same 
symptoms, because they both weaken the economy. 
The action of the first on the nervous system is direct 
and immediate, and the symptoms that result from it. 
are of a more spasmodic character. It is very easy to 
confound these two causes when they act simultane- 
ously ; but I have just shown that they can be con- 
sidered separately. The following reason shows the 
importance of so doing : — 

" Whenever we succeed in entirely putting a stop to 
the habits of abuse in children, we may make sure of 
obtaining their return to health, and that very quickly. 
This I have remarked in all the cases of children that have 
come under my care. I do hot mean to infer that the 
isordcr done to nutrition during the progess of develop- 
ment is easily repaired, but that the acute symptoms 
apidly disappear, and that all the functions are quickly 
e-established. If the effects produced are active and 
erious they cease very rapidly, as soon as the cause is 
emoved, and return to health becomes Unfor- 
unately matters do not follow so simple a course after 

"What I have respecting children, applies 
qually to females ; this is easily shown by examining 
he cases in which excision of the clitoris has been per- 


formed for the cure of nymphomania. The state of 
these unfortunates must have been deplorable indeed, 
to justify the resort to such means ; yet they recovered 
very rapidly. 

" Why in these two classes of cases, is the cure certain 
and the return to health rapid, as soon as the vice has 
been mastered 1 It is that the cause of the weakness 
immediately ceases to act ou the economy. Why is it 
that so many men continue to waste away after they 
have entirely left off their habits of abuse % It is be- 
cause diurnal pollutions have commenced, which are 
even more debilitating than the abuses which gave rise 
to them. 

" Dr. Deslandes and many others have discovered that 
there is a great difference in the conditions of persons 
who have practiced masturbation for some time, and 
then renounced it ; but they have not sought the expla- 
nation of this fact. It is, however, very important to 
know why some are cured rapidly and completely, while 
others continue to suffer and languish during the re- 
mainder of their lives. The symptoms experienced by 
the latter are those produced by diurnal pollutions. But 
if we inquire why some should be affected by diurnal 

Eollutious while others are exempt, we discover that we 
ave been comparing two very different classes of pa- 
tients. The one class conquered their bad habits by the 
force of their will— the other class were compelled to 
renounce them by impotence. The former resisted their 
desires while they were yet active ; they required much 
perseverance and moral energy in order to succeed. The 
latter only left off as they were less tempted— the pro- 
gressive disease in their erections being due to the pre- 
sence of undiscovered diurnal pollutions. 

" Such patients deceive themselves as to the cause of 
their changing their habits, and are astonished at not 
finding any benefit arise from such change. Some of 
them even remark to their medical attendants that it is 
after they have left off their malpractices, that their 
health has become altered. 

" All these circumstances, embarrassing at first sight, 
are easily explained on a little reflection. At first the 
genital organs are healthy ; the constitution is un- 
injured ; no seminal emissions occur except those that 

2 ( J2 

aro induced voluntarily, and the activity of the di- 
gestive organs permits a rapid repair of the losses. But 
as soon as irritation is set up in the spermatic organs, a 
large quantity of semen is secreted, and escapes every 
day, and several times a day, without the patient's 
knowledge. The digestion is disordered ; the erections 
and voluptuous sensations diminish, because the semen 
is less perfectly formed ; the provocations are, there- 
fore, weakened by degrees, and the patient renounces 
without difficulty habits which only inspire him with 
disgust. He wonders that his health still continues to 
grow worse, for he has not discovered that he passes 
daily, by often repeated evacuations, more semen than 
he formerly passed in a perceptible manner, and he does 
not take into account the difficulty felt by his economy 
of repairing these frequent discharges. We must not 
then confound those whose virility leaves them, with those 
whom the power of their will causes to recover, and 
we must not be surprised at seeing the alteration in the 
habits of each followed by very different consequences. 

"In order to make the distinctive character of these 
two positions clear, I have laid stress on their most 
striking points. But there are numerous slight shades 
of distinction which I have-not mentioned; for in- 
stance, in some cases the two classes of phenomenoc 
occur successively in a very distinct manner, at very 
near periods. Many patients having corrected them- 
selves once, find their health promptly re-established. 
But when, after recovering their strength, they have 
relapsed into their former habits, on renouncing them 
a second time, they obtain no benefit. These different 
results, under apparent similar circumstances, can only 
be explained by the occurrence of diurnal pollutions in 
consequence of the return to habits of abuse. 

" Case 31 is a clear and perfect proof of the correct- 
ness of this explanation. The patient recovered twice 
after having twice conquered his passions ; but the 
third time he only gave it up through disgust, and his 
health oontinued to deteriorate until cauterization ar- 
rested the diurnal pollutions from which he suffered. 

" There are many circumstances which interfere with 
the good resolutions of those addicted to masturbation. 
After a few days of absolute continence, attained with 


much difficulty, they frequently suffer from nocturnal 
pollutions, the more frequent and the more abundant in 
proportion as the spermatic organs have been much ir- 
ritated ; the patients always feel more debilitated by 
these involuntary discharges than by those which they 
previously excited. Instead of combating these pollu- 
tions by suitable means, or after having employed one 
or two plans unsuccessfully, they think they will be able 
to diminish the evil by recurring to their former habits 
at distant intervals, and they thus relapse, increasing 
still more the irritation of the parts. Soon after diurnal 
pollutions commence and rapidly produce their effects ; 
but as these are not discovered, the patients rejoice to 
find the nocturnal discharges gradually disappearing ; 
but their health daily grows worse. This they cannot 
comprehend, and are frequently led to imagine that 
they have mistaken the cause of their disorder." 

Many authors have noticed the indifference which 
persons, addicted to masturbation, show towards the op- 
posite sex. This sentiment is, indeed, very common in 
those who have carried their abuses to a great extent ; 
but I do not think it arises, as has been stated, from the 
long habit of solitary vice ; at all events, I can assign a 
more direct cause for this indifference, viz. : the relative 
impotence of the patients — I say, relative impotence, be- 
cause they possess sufficient power of erection to permit 
the practice of masturbation, but not enough to admit 
of sexual intercourse ; and such patients seldom mani- 
fest any dislike to the opposite sex until they have ex- 
perienced several disappointments, the remembrance of 
which constantly haunts them. Their views change 
immediately that the diurnal pollutions which kept up 
this impotence are arrested. 




The effects of abuses vary much in their characters 
and intensity, according to the individuals attacked. 
Some persons are uninjured by the most unbridled 
abuses, even when long continued, whilst others are 
very quickly disordered by slight abuse. In this re- 
spect 1 have witnessed very opposite cases with every 
variety of intermediate degree. 

Temperament seems to have little influence in pro- 
ducing this inequality of resistance. Strength or feeble- 
ness of constitution is not of so much importance as 
might be supposed. The very unequal power of the 
genital organs affords the only satisfactory explanation. 
I shall refer to this point more fully when treating of 
venereal excesses. 

Idiosyncrasy . — In the same individual, all the organs 
are not equally affected by abuse ; this is shown by tho 
frequent predominance of certain symptoms which give 
to the case a particular appearance, and are apt to lead 
to grave errors of diagnosis and treatment. I have re- 
lated many cases in which this occurred. The presence 
of special symptoms, wherever a generally debilitating 
cause acts on the economy, arises from inequality of 
development or of activity, existing in certain organs. 
I shall at present only consider tho direct and immediate 
action of abuses on the genital organs, so as to show the 
mode in which they produce nocturnal and diurnal pol- 



Attacks of blennorrhagia (clap) are more frequent 
in persona addicted to masturbation than is generally 
supposed. Cases of this kind have frequently fallen 
under my notice. In the greater number of these pa- 
tients the discharge was small in quantity, viscid and 
nearly transparent, or very slightly colored. It scarcely 
differed in appearance from the prostatic secretion ; but 
in many patients the discharge was abundant, more or 
less colored, and attended with pain in the urethra, es- 
pecially during the passage of urine. Several suli'ered 
from all the symptoms of a contagious blennorrhagia. 


" In others the same symptoms recurred two or threo 
times, and in one patient the discharges re-appeared as 
many as five times, always from the same cause. It is 
worthy of notice that there existed a kind of intermittance 
in the habits of the last mentioned patients ; after having 
been moderate, or even quite continent for some time, 
they recommenced masturbation with fury, and the 
urethral discharges supervened on these relapses. Two 
of my other patients suffered from stricture of the ure- 
thra after one of these attacks of blennorrhagia, just as 
occurs after contagious blennorrhagia, and in one of 
these cases the stricture was very tight and very difficult 
of cure. 

" I should remark that I am now speaking of patients 
who had never had sexual intercourse, and that I leave 
out of the question such as had suffered from cutaneous 
affections, in which tho urethral mucous membrane 
might have participated. I must add that thirteen of 
such patients had not reached the age of puberty when 
the discharges occurred. 

" These discharges, not having been excited by any 
virus, or by any constitutional disposition, must be re- 
ferred to the effects of masturbation. Many of them 
having occurred before the age of puberty, it is evident 
that they could not consist of semen. 




" Several of my patients suffered from retention of 
urine, after the most frightful abuses ; and it was neces- 
sary to relieve some of them with the catheter. In one 
patient an abscess formed in the prostate, and discharged 
through the pereneum. 

" I have related many cases of acute and chronic cys- 
titis, of which masturbation was the sole cause. 


" Some of my patients had carried their passions so 
far as to provoke emissions of pure blood, or of semen 
mixed with blood. Authors contain many such cases, 
which show that the pathological condition of the ure- 
thra has extended itself to the lining of the seminal vesi- 
cles. Other patients suffered from more or less severe 
attacks of hematuria ; many experienced irritation of the 
bladder and kidneys, attended with an abundant secre- 
tion of bloody urine and constant desire to pass urine — 
sometimes even micturation was involuntary. Thus the 
inflammation or irritation caused by masturbation may, 
like that accompanying blennorrhagia, extend by de- 
grees, until it reaches the kidney. It will be easily be- 
lioved that the irritation does not extend in this direc- 
tion only. 


" I have seen several cases in which the patients suf- 
fered from acute attacks of orchitis, after furious mas- 
turbation ; and frequently such orchitis has required 
v«ry active treatment for its relief. In one case the pa- 
tient had not reached puberty when this occurred. In 
many such cases no doubt accessory circumstances ex- 
isted, although the patients attributed the development 
of the orchitis only to masturbation. Others more 
slightly affected, experienced pain in the testicles and 
spermatic cords, accompanied with swelling of the 
epididymis.- Others, again, suffered a painful sense of 

2: < i 

k ensiorj ; they felt as if the testicles were held in a vice, 
or squeezed by a hand of iron. In many, the least con- 
tact of the parts with the clothes was insupportable, 
and the weight of the testicles caused very severe drag- 
ging pain. In all .such cases the patients were obliged 
to wear suspensory bandages, and often to guard the 
testicles from friction with cotton, wool, or swans'-down. 

" These symptoms which I have considered separately, 
generally occur together, and often form varying groups 
which present special appearances depending on the 
predominance of one of the symptoms. Sometimes the 
patients mention one circumstance only, because that 
one alone has attracted their attention ; but when 
questioned, they recollect many others which appeared 
trifling by the side of the more serious one. It is also 
important to remark, that diurnal pollutions generally 
follow very soon after the appearance of these symp- 
toms, and that the patients are & long time without dis- 
covering them, and sometimes only detect them when 
taught what to expect. 

" The more we reflect on these morbid phenomena and 
the course of their appearance, the more striking is the 
resemblance between the effects of excessive masturba- 
tion and those of blennorrhagia. I admit that tho 
symptoms do not always present the characters of well- 
marked inflammation, but they at least show those 
of active irritation of the parts. It is easy enough to 
give a clear explanation of what passes in all cases of 
this kind, with perhaps some slight shades of differ- 
ence. The testicles secrete more semen, which is im- 
perfectly formed ; the seminal vesicles participating in 
the state of irritation of the neighboring organs, do not 
easily bear its presence— they contract more readily, as 
they are more easily affected by external impressions. 
Hence it becomes more and more difficult to avoid 
nocturnal pollutions. After a little time, diurnal pollu- 
tions occur and become more and more frequent and 
abundant; that is to say, there is a constant disposition 
in the seminal vesicles to contract spasmodically and 
expel their contents. 

" On the other hand, the semen, ili secreted by the 
testicles, and remaining a shorter time in its reservoirs, 
•ecomes thinner and more watery ; and by degrees, as 


it loses its physiological characters, it also loses its 
normal properties ; it becomes, therefore, unfit to pro- 
duce its effects on the seminal vesicles. The erection? 
are consequently less energetic and less lasting, and 
after a time incomplete and fleeting, whilst, in the end, 
in severe cases, they disappear altogether. Hence the 
embarrassment and timidity of such patients in the 
company of females, and the fear they experience of 
finding themselves in a position to expose their impo- 
tence ; and hence their indifference and even aversion 
for the sex, and the constantly increasing difficulty they 
experience in changing their habits. Such abuses, 
then, because their effects remain long after the habits 
have been altered, bring on symptoms, of which the 
cause is unsuspected. This is the reason why the health 
of some continues to deteriorate, whilst that of others, 
are re-established as soon as they have renounced their 
malpractices. This' is why tonics, aphrodisiacs, cold 
bathing, and iced drinks, produce effects so different 
from those expected. 

" There are undoubtedly cases,in which the spermatic 
organs are weakened and relaxed. I shall relate several 
instances of this in a future chapter ; but we shall then 
see that such a state arises from primary relaxation of 
habit and rather from want of use of the organs, than 
from their abuse. 

" In concluding my remarks on the subject of mastur- 
bation, -I may observe, that it is the most dangerous of 
all vices of this nature, because it is the most difficult 
to discover and to prevent, and because it does not re- 
quire any assistance for its consummation. From the 
cases I have seen, I conclude that the irritation excited 
by such manoeuvres very easily induces involuntary dis- 
charges ; that the appearance of nocturnal pollutions in 
those who attempt to abandon the vice, often causes 
them to return to their former habits, and that the di- 
minution of virility which follows, far from favoring the 
patient's amendment, frequently hinders it by proving 
an obstacle to their having sexual intercourse, while it 
does not prevent them from continuing their bad prac- 
tices. This circumstance is a powerful cause of the dis- 
orders which attend such as are reduced to vicions 



These affections are generally confounded together, 
yet the difference is very considerable, though their 
manifestations are similar. There is an unnatural sex- 
ual desire in both of them, which is often so unconsola- 
ble, that gratification is attempted at any sacrifice. 
They are produced by disease, as has been shown in the 
preceding Chapters of this work. 

Satyriasis is caused by a disease of the sexual organs, or 
the adjacent parts, which keep them in a constant irrita- 
tion, often so great as to prevent proper sleep and caus- 
ing the greatest uneasiness at all times, producing a most 
furious excitement ; those which are most likely to pro- 
duce satyriasis are the piles, ascarides, bladder, and the 
urethra or prostate gland. Dr. Curling remarks, that 

" The irritation attending the morbid condition of the 
mucous membrano of the prostatic portions of the ure- 
thra, tends in a very material degree to excite both the 
excessive seminal discharge and the secretions of the 
prostate, and to produce that morbid craving for indul- 
gence and abuse which persons who have brought them- 
selves to this state find so difficult to repress and resist. 

" It is well known that any irritation at the orifice of 
an excretory duct usually acts as a stimulus to the se- 
cretion of the gland. Thus, hurtful matter in the 
duodenum produces a flow of bile ; and a foreign body in 
the conjunctiva, as an inverted eye-lash, a discharge of 
tears ; so it is with the testes when irritation exists at 
the orifices of their excretory ducts. The disorder at 
this part, moreover, appears to react on the brain, and 
to become in part the cause of the patient's mind being 
constantly occupied with subjects of sexual excitement, 
and of his indifference and apathy to other matters ; so 
that the local disease induced by abuse powerfully aids 
in perpetuating the mischief; and, judging from the 
experience which I have had in these cases, is the object 
to which our treatment should be first directed. 

" In all of these cases reasoning is of no use whatever ; 
tho cause must be removed or the disease will continue 


for the patient can no more control himself than he coulo. 
if he was laboring under a diarrhoea or fever. 

" This is a truth, I fear, not sufficiently impressed on 
the minds of medical men. One would be loath to offer 
any apology for the vicious habits and indulgences to 
which, it is well known, old men are occasionally ad- 
dicted — a melancholy exaraplo of the kind, in the higher 
ranks of life, having lately been brought under publio 
notice. I cannot but think, however, that, in many in- 
stances, these cases are not undeserving of professional 
3yinpathy, and that the erotic longings — which some- 
times continue to distress the aged long after the period 
at which, "in the course of nature, they should have 
ceased — depend as much on physical infirmity as mental 
depravity, the former inciting and producing the morbid 
desires. If these propensities were regarded and treated 
as symptoms of disease, (and that they frequently occur 
in connection with affection of the urinary passage, is 
well krfown to practical surgeons), I believe they would 
often subside, and the distressing results to which they 
lead would be altogether avoided." 

Erotomania differs from satyriasis as respects the seat 
of the disease, as the former is in the brain an<l not in 
the genitals directly, for they are only affected in a 
secondary manner. 

Dr. Copeland is very clear in his distinction of the two 
diseases ; but I will here say, nymphomania, to which 
he refers, is the same disease in the female as satyriasis 
in the male. He says, 

" Erotomania — Monomanie erotique of Esquirol, is 
characterized by an excessive love of some object, real 
or imaginary. It is a mental affection in which amorous 
ideas are as fixed and dominant as religious ideas are in 
religious momomania or melancholia. Erotomania is 
very different from satyriasis and nymphomania. In 
the latter the mischief is in the reproductive organs ; in 
the former it is in the mind. The one is a physical, the 
other a moral disorder. 

" Erotomania is the result of an excited imagination, 
unrestrained by the powers of the understanding ; sa- 
tyriasis and nymphomania proceed from the local irri- 
tation of the sexual organs, reacting upon the brain, 
and exciting the passions beyond the restraints of rea- 

PLATE 24. 

Fig. 74- 


son. In the former, there is neither indecency nor the 
want of chastity ; in the latter, there is unrestrained 
expressions of sexual desire and excitement. The one is 
commonly caused by ungratifled or disappointed affec- 
tion excited in a virtuous mind ; the other, by inordi- 
nate irritation or indulgence of the sexual passion. 

" In erotomania, the eyes are bright, the manner and 
expressions tender and passionate, and the actions free, 
without passing the limits of decency. Self and selfish 
interests are all forgotten in the devotion paid, often in 
secret, to the object of the mind's adoration. A state 
of ecstasy often occurs in the contemplation of the per- 
fections which the imagination attaches to the sub- 
ject of its admiration. The bodily functions languish 
during this state of moral disorder ; the countenance 
becomes pale and depressed ; the features shrunk ; the 
body emaciated ; the temper unquiet and irritable ; and 
the mind agitated and despairing. The ideas con- 
tinually revert to the loved and desired object ; and op- 
position or endeavors to turn them in a different direc- 
tion only render them more concentrateoVand determbjed 
in their devotion. At last, parents and fortune are 
abandoned, social ties broken asunder, and the most 
painful difficulties are encountered, in order to obtain 
the object of admiration. 

" In some cases the attempts made by the patient to 
conceal and overcome this affection, occasion a state of 
irritative fever, with sadness, depression, loss of appe- 
tite, emaciation, &c, which has not inappropriately 
been termed by Lorrey, Erotic Fever, and which, after 
continuing an intermediate period, may even terminate 

" when a young person becomes sad, absent in 
mind, pale and emaciated, sighs frequently, sheds tears 
without any obvious reason, is incapable of any mental 
or bodily exertion, scarcely speaks to any one, loses ap- 
petite, "&c, it is sufficiently evident that the mind is 
inordinately possessed by some desired object. If a 
strong effort be not made to dispossess it of the pre- 
dominant sentiments, or if the object of desire be not 
obtained, the symptoms become still more distressing. 
The corporeal functions languish, the eyes sink, the 
pulse becomes weak and irregular, and the nights dia- 


turbed and sleepless. At last a form of slow hoctie is 
produced, and the weaker organs, especially the lungs 
and heart, are the seat of slowly-produced disease ; the 
whole frame is blighted, and the patient sinks from tha 
injurious influence of the mental affection on the vital 

" This form of moral disorder may increase, and 
affect the intellect in a much more serious manner, 
until general insanity or mania is developed ; and, with 
the progress of time, it may at last terminate in de- 
mentia or incoherent insanity. In each of these, the 
primary character of the disorder, or the original moral 
affection, will still continue to be manifested by the 
frequent suggestion of the same train of ideas, or re- 
currence to the object of devotion." 

I need not impress the importance of the selection of 
a proper physician in all of the cases, which I have so 
fully treated on, in the foregoing pages, for I think the 
facts therein presented, and the immense deal of suffer- 
ing and fatality, which has and still is caused by the 
physicians not understanding the proper treatment — 
from the lack of the necessary practice — will put all who 
are unfortunately afflicted, or who have any friends or 
relatives in such a position, on their proper guard, and 
where the most worthy among so great a number — say- 
ing nothing of their fitness to be employed — can be found. 



There arc not many medicinal substances that act di- 
rectly on the genital organs ; some of those that do so, 
are beneficial, and some of them highly injurious. From 
the immense deal of imposition practiced both by the 
quacks and regular practitioners, I have concluded to 
present a few remarks and extracts, that others may os- 


oape their base productions, and thus save the con»e- 
qucnt injury that their use would be sure to cause. 

There has always been an ignorant notion existing 
among the people generally, that physicians were ac- 
quainted with the secret specification of certain medi- 
cines on the generative functions, which would arouse a 
sexual ardor under almost any circumstances, and in or- 
der to play upon the credulity of the public, and at tho 
same time better their pecuniary circumstances, have 
originated the various cordials, elixirs, stimulants, &c, 
which are so much advertised, in order to attract the 
attention of those who are troubled with emissions, sem- 
inal weakness, impotency and sterility. None of them 
are, in the slightest degree, capable of performing what 
Is promised of them. 

It is only very recent that a discovery has been made 
of certain drugs which will produce the most astonishing 
beneficial action, in those cases suffering from loss of 
power, yet each individual case requires its being ad- 
ministered with a skillful hand, after a full statement of 
the case has been presented, and it is to be hoped the 
knowledge of the ingredients will be kept from those char- 
latans who only know how to prescribe for all alike, 
notwithstanding the differences presented in almost 
every case. 

Purgatives are thought by almost everybody to act 
only upon the bowels, but instead of that, as I have al- 
ready shown, irritation from spasmodic contractions of 
the rectum extends to the seminal vesicles, and produce 
just as great and distressing diurnal pollutions as those 
which arise from mechanical compression of the same 
organs ; so that of ascarides, diarrhoea, &c, produce 
emissions, they as a matter of course will be caused 
by drastic purgatives, because they act chiefly by irri- 
tating the large intestine, and which bring on in the 
rectum and neighboring parts a more permanent state 
of irritation, aud consequently excite an unnatural flow 
of urine by irritating the bladder. Now, the spermatic 
ducts and prostate gland are close to the rectum, and 
are just as much affected as the bladder — which is one 
reason why patients are injured instead of being benefit- 
ted by using such a mode of treatment — because they are 
costive, which they generally are. I have had a great 


many patients from physicians who so foolishly adopted 
such treatment, in a worse state than they were before 
they visited them. 


I have often been obliged to prohibit patients the use 
of tobaeeo, liquor, coffee and tea, and as evidence that 
other surgeons also have found some or all of them in- 
jurious I will here insert some of their remarks. 

Coffee — M. Lallemand says, affects the cerebro-spinal 
system, and that attention ha3 not been paid to its ac- 
tion on other organs. Taken in moderate quantities, it 
excites the bladder and kidneys, increases the secretion 
of urine, and renders its discharge more frequent. It 
acts in the same manner on the spermatic organs, aug- 
ments the venereal desires, favors erections, and accele- 
rates ejaculation. Taken in excess, however, it pro- 
duces injurious effects. 

Tea. — M. Lallemand is supported in his views of the 
action of tea by Dr. McDougal, and is satisfied its ef- 
fects are very similar to coffee. He further says, there 
are many other agents besides those he has mentioned, 
which excite or increase involuntary seminal discharges. 

Tobacco. — This article produces similar effects on a 
great many persons to opium and other narcotics. At 
first they often stimulate, but afterwards they weaken 
ihe sexual organs, so much so as to cause complete impo- 
iency. This no doubt is caused by the relaxation of 
ihe ejaculatory ducts. 

In the thirteenth Annual Report of the Massachusetts 
State Lunatic Asylum, there are excellent remarks on 
tobacco, which I cannot refrain from inserting. After 
the remarks on the injurious effects of alcohol it goes on 
to say, — 

" Alcohol is not the only narcotic which thus affects 
the brain and nervous system. Opium produoes delirium 
tremens, and probably insanity. Tobacco is a powerful 
narcotic agent, and its use is very deleterious to the 
nervous system, producing tremors, vertigo, faintness, 
palpitation of the heart, and other serious diseases. 
That tobacco certainly produces insanity, I am not able 
positively to observe ; but that it produces a predispo- 


gition to it, 1 am fully confident. Its influence on the 
brain and nervous system generally, is hardly less ob- 
vious than that of alcohol, and, if used excessively, is 
equally injurious. The young are particularly suscepti- 
ble to the influence of these narcotics. If a young man 
becomes intemperate before he is twenty years of age, 
he rarely lives to thirty. If a young man uses tobacco 
while the system is greatly susceptible to its influence, 
he will not be likely to escape injurious effects that will 
be developed sooner or later, and both diminish the en- 
joyments of life and shorten its period. 

" The very general use of tobacco among young men 
at the present day is alarming, and shows the ignorance 
and devotion of the devotees of this dangerous practice 
to one of the most virulent poisons of' the vegetable 
world. The testimony of medical men, of the most re- 
spectable character, could be quoted to any extent to 
sustain these views of the deleterious influence of this 
dangerous narcotic. 

" Dr. Rush says of tobacco, ' It impairs the appetite, 
produces dyspepsia, tremors, vertigo, headache and 
epilepsy. It injures the voice, destroys the teeth, and 
imparts to the complexion a disagreeable, dusky brown.' 

" Dr. Boerhave says, that, ' Since the use of tobacco 
has been so general in Europe, the number of hypo- 
chondrical and consumptive complaints have increased 
by its use.' 

" Dr. Cullen says, ' I have known a small quantity 
snuffed up the nose to produce giddiness, stupor and 
vomiting. There are many instances of its more vio- 
lent effects, even of its proving a mortal poison.' 

" Dr. Darwin says, ' It produces disease of the sali- 
rary glands and the pancreas, and injures the power of 
ligestion by occasioning the person to spit off the saliva 
which he ought to swallow.' 

" Dr. Tissott once saw the smoking of it prove fatal. 

CASE xxxix. 

"Dr. Pilcher details the particulars of a case of a 
medical student whom he had been requested to see 
' This gentleman suffered under all the symptoms of 
phthisis. There was muco-purulent expectoration, 


night sweats, &o. The mucous membrane of the 
throat, epiglottis, and the neighboring parts, were coatp 
ed with a brown fur. The patient had been an im- 
moderate snuff-taker ; he was told to discontinue tho 
snuff — he did so, and recovered.' 

" Dr. Chapman says, ' By a member of Congress from 
he west, in the meridian of life, and of a very stout 
frame, I was some time since consulted. He told me, 
that from having been one of the most healthy and fear- 
less of men be had become sick all over and timid as a 
girl. He could not even present a petition to Congress, 
much less say a word concerning it, though he had long 
been a practicing lawyer, and served much in legisla- 
tive bodies. By any ordinary noise he was startled or 
thrown into tremulousness, and afraid to be alone at 
night. His appetite and digestion were gone ; he had 
painful sensations at the pit of the stomach, and unre- 
lenting constipated bowels. During the narrative of 
his suffering, his aspect approached the haggard wild- 
ness of mental distemperature. On inquiry, I found 
that his consumption of tobacco was almost incredible, 
by chewing, snuffing and smoking. Being satisfied 
that all bis misery arose from this poisonous weed, 
its use was discontinued, and in a few weeks he entirely 


" Distressing as was this case, I have seen others, 
from the same cause even more deplorable. Two young 
men were in succession brought to me for advice, whom 
I found in a state of insanity, very much resembling de- 
lirium tremens. Each had chewed and smoked to- 
bacco to excess, though perfectly temperate as regarded 
drink. The further account given me was, ' that in 
early life adopting this bad practice, it grew with their 
growth. Dyspepsia soon occurred, attended by great 
derangement of the nervous system, and ultimately the 
mania, I have mentioned ; but I have also seen the same 
condition very speedily induced.' 


" Dr. Franfilin says, ' He never used it, and nevor 
met with a man who did use it that advised him to fol- 
low his example.' 

" The venerable John Quincy Adams, in a recent 
letter on the subject, says, that in early life he used 
tobacco, but for more than thirty years he had discon- 
tinued the practice. 'I have often ^pished,' says he, 
' that every individual of the human race, affected with 
this artificial passion, would prevail upon himself to try 
but for three months, the experiment which I have 
made, and I am sure it would turn every acre of to- 
bacco-land into a wheat-field, and add five years to the 
average of human life.' 

" Some cases have come under my observation which 
show the injurious effects of tobacco where no evil was 


" A respectable merchant, who abstained wholly 
from ardent spirits, applied to me for advice. He com- 
plained of great weakness, tremor of the limb3 and 
joints, with lassitude, general prostration of health, and 
depression of spirits. Knowing that he used tobacco 
freely, I advised him to discontinue it entirely ; he soon 
became better, and after a time was wholly relieved 
from these disagreeable symptoms. 

case xiav. 

" A distinguished clergyman informed me that he 
had been an extravagant snuff-taker ; that for years he 
had a disagreeable affection of the head, and his health 
was not good. He did not attribute either to the use 
of snuff, but thinking it a filthy habit and a growing 
evil, he resolved to leave it off. He was surprised to 
find that the difficulty in his head almost immediately 
left him, and his general health became quite good. 


" A gentleman of athletic frame, and about twenty- 
four years of age, applied to me for advice. He com- 
plained of insufferable faintness and distress of stomach, 


morning siokness, vomiting, trembling, and prostration 
of strength. He diminished his tobacco considerably, 
and was immediately better, but had not resolution to 
abandon the pernicious practice. 

" In our experience in the Hospital, tobacco in all its 
forms is injurious to the insane. It increases excitement 
of the nervous system in many cases, deranges the stom- 
ach, and produces vertigo, tremors, and stupor in 
others. It is difficult to control its use with the insane, 
and although considerable suffering comes from its en- 
tire abandonment, it cannot be generally allowed with 


" One patient, while at labor, found a quantity of to- 
bacco, and hid it in his bed. He used it freely, became 
sick, lost his appetite, and confined himself to his bed, 
completely intoxicated. After some days, diligent 
search was made, and a store of tobacco was found in 
his straw bed ; when this was removed he almost imme- 
diately recovered, and in a few days he was as well as 


" A person who came into the Hospital a furious ma- 
niac, soon became calm, and improved favorably. He 
labored in the field with propriety, and exhibited every 
indication of a favorable convalescence. Suddenly with- 
out any apparent cause, he again became very violent 
and insane. It was soon discovered that he had in some 
way obtained tobacco. After he ceased to use it, he 
again became calm and convalescent. 

CASE XL vm. . 

" An aged lady was brought to us very insane. The 
practice of her friends for some time, had been to give 
her ardent spirits to intoxicate her at night, and tobac- 
co and snuff, in unlimited quantity, for the day. All 
these were withdrawn at once ; her sufferings for some 
days were great, but after a time, she became calm, 
and got better as soon as the influence of this excitement 
was over. 


" It is very natural to suppose that an article possess- 
ing the active properties of this fascinating narcotic, 
should produce most deleterious effects upon health — 
particularly upon the brain and nervous system. 

" The uninitiated cannot smoke a cigar or use tobacco 
in any form, without unpleasant effects — how then can 
it be possible that a poison so active can be used with 
impunity "! The stomach and brain, subjected to such 
influences, will become diseased, and show their effects 
as certainly as if alcohol were used. 

" If asked my medical opinion, which was safest, four 
glasses of wine or four quids of tobacco, daily 1 I should 
say, unhesitatingly, the wine. Of the two evils, this 
would, in my opinion, be the least. Tobacco is the 
strongest, most dangerous narcotic — the habit of its use 
is the strongest and most difficult to overcome, and the 
influence felt from it most baneful and destructive to 

Opium, of course, is much worse than tobacco, as the 
exhaustion it produces is not so readily recovered from, 
for if its use once cause impotency, it is quite doubtful 
if he can be restored to his former powers. 

I will close this article by quoting what M. Lallemand 
says, in a number of his cases, on its effects in decreasing 
and otherwise affecting the sexual desires. 1 very often 
have patients affected in the same way. 


"I have a young man of very nervous temperament 
at present under my care, in whom nocturnal and di- 
urnal pollutions have brought on pain in the loins, pal- 
pitation, difficulty of breathing, &c, symptoms which 
were supposed to arise from disease of the spinal cord, 
cardiac affection and commencing phthisis. Among the 
exciting causes of these involuntary discharges, the 
effects of smoking occupy the chief place. The follow- 
ing is the patient's statement : — 

" ' At twenty years of age I wished to accustom my- 
self to smoking ; but a day never passed without my ex- 
periencing complete intoxication, attended with vomit- 
in", vertigo, and trembling of the limbs. I continued 
the habit, however, and I soon began to poreeivo that 


my sight became weak, and that I lost my memory ; 
my hands shook, and my digestion became much dis- 
ordered. I noticed also great debility of the genital 
organs ; my erections ceased ; and at the age of twenty- 
two 1 found myself completely impotent.' 

" This patient had rarely practiced masturbation, and 
had never committed any excess when he first began to 
smoke ; his health had previously been excellent. It 
is, therefore, evident, that the impotence as well as the 
other symptoms, arose from tobacco. Impotence at the 
age of twenty-two can only be produced by involuntary 
seminal discharges, provided there be no physical disa- 
bility. In the present case, there was no doubt on the 
point, the patient himself having discovered diurnal and 
nocturnal pollutions. 

" The action of tobacco on those who smoke for the 
first time, is too well known to require description ; more 
or less disorder of all the functions, varying according 
to the constitution of the individual, invariably arises 
from it ; and this disorder always presents more or less 
of the characteristics of poisoning by narcotics. These 
effects go off by degrees, as the patient becomes habitu- 
ated to the use of tobacco, and generally after a time 
cease to be manifested at all. Some nervous and ex- 
citable individuals are unable to accustom themselves to 
the habit, as in the case just mentioned ; in others, 
again, smoking becomes an artificial habit, which in 
many cases is almost a necessity. 

" But this empire of custom has its limits, beyond 
which the narcotic influence re-appears. In such as are 
lot easily affected, this acquired habit is generally sup- 
ported with impunity ; but even then, if it be indulged 
in to excess, it must after a time be injurions. Thus it 
■s that the most accomplished smokers often experience 
rertigo, cephalagia, anorexia, &c, when they have re- 
mained long in an atmosphere densely filled with smoke, 
which is then drawn into the lungs, and probably pro- 
duces worse effects than when merely drawn into the 
mouth, or swallowed, as in smoking. 

" In a word then, if the power of habit can prevent the 
momentary offects of smoking from showing themselves, 
the frequent repetition of the use of tobacco produces 
more lasting effects on different organs. Disorder of the 


digestive organs is well-known as occurring in inveterate 
smokers — that of the genital organs has not hitherto 
been noticed." 

Dr. McDonald says, that " Many inveterate smokers 
among his professional friends have mentioned to him 
the diminution of their veneral desires, as one of the 
effects of tobacco." 


The application of a blister on a particular part of the 
body will not only increase involuntary seminal dis- 
charges, but will cause them. Cantharides will do this, 
whether used as a blister or administered as an internal 
remedy, because it will cause an inflammation of the 
bladder and the contiguous parts of the body to such 
an extent as to prevent the passage of the urine. This 
is the reason that physicians have administered this drug 
in cases of seminal discharges and impotency, supposing 
thein to be caused from atony or a relaxation of the 
genitiil organs. But of the hundreds that have come to 
me, after its use, not one had received the slightest bene- 
fit ; but, on the other hand, had been injured to such an 
extent as to be troubled with a constant bearing down 
and other pains in the region of tho bladder, obliging 
them to pass urine (in one bad case,) as often as ninety 
times within the twenty-four hours. Many patients re- 
ceived an increase of all their symptoms, and impotence 
taking the place of the weakness of the genitals. In- 
jecting the urethra produces the same result. 

If a physician does not understand the nature of a dis- 
ease, I am surprised that he would have even the re- 
motest idea of undertaking to cure it, much more doing 
so, for if they did understand it, they would not use 
cantharides, for instead, aa they suppose, no doubt, of 
the disease — Emissions — being caused by a weakness of 
the organs, they are produced by irritation, and will in- 
crease instead of being removed, unless that irritation 
and cause is removed, which can never be done by this 
nor any other medicines ; yet, see patients every day 
that have been under the care of physicians, or used all 
of the remedies which are so much lauded in the paperi 
as being the only cure. 


The public have long labored under the great error of 
supposing cantharides would create or restore power to 
the genital organs, and a desire for sexual gratification, 
to an extent that would satisfy the purposes not only of 
those who really needed something of the kind ; but it 
has been given for base purposes in many a case, I have 
no doubt. Many a female case has been presented to 
me of great sufferings, caused by its use. 

There ha3 been very recent discoveries of harmless 
medicines, which are surprisingly effective in cases of 
impotency, sterility, and weakness of the generative 
system ; but I administer it, of course, in accordance to 
the peculiarities of each case. 

This is a good antidote for the injurious conse- 
quences of the use of cantharides ; but its use for the 
cure of spermatorrhoea often causes injury. 

As an instance of its injurious effects, M. Lallemand 
gays, " One of his patients who put camphor between 
the prepuce and glans penis, suffered so much from di- 
urnal pollution as to~endanger his life." 

It is a drug which quacks use, and I have found in 
a great many patients, after having used their remedies, . 
an augmentation instead of diminution of their symp- 


I consider this almost as injurious and dangerous as 
cantharides; but notwithstanding all its injurious effects, 
almost all doctors, and nearly every quack remedy, 
especially for the cure of gonorrhoea, gleet, fee, in- 
corporate it with their other drugs. In the inflamma- 
tory stage of these diseases it is supposed to have a 
Bedative effect. It is considered a diuretic, because it 
increases the flow of urine, thereby stimulating the 
kidneys. But if it would stop there it would not causa 
so much harm, for it produces hematuria, pain, and in- 


flammation of the bladder, consequently swelled tes- 
ticles, and increase of, or will originate an inflammation 
jf the urethra and prostate gland. As further proof 
of its injurious effects I will insert a case mentioned by 
M. Lallemand : — 

" A merchant of G cnes, wishing to take a purgative, 
sent to a druggist for an ounce of sulphate of mag- 
nesia. By mistake an ounce of nitrate of potass was 
returned by the messenger and taken. Violent inflam- 
mation of the urinary passages, accompanied with a dis- 
charge resembling blennorrhagia (clap) resulted, swell- 
ing took place in about the centre of the urethra, and 
when the acute stage of inflammation had passed off, a 
circumscribed induration, which obstructed the dis- 
charge of urine, remained. Twenty years afterwards 
the patient still suffered from this obstruction, for the 
formation of which there had been no other cause than 
the inflammation produced by the nitrate of potass. 
The patient had never had blennorrhagia, either before 

" It appears then the nitrate of potass acts as a stimu- 
lant of the whole urinary apparatus ; and it is at least 
probable that it produces the same effect on the sper- 
matic organs. I am led to this opinion partly by an- 
alogy, but chiefly because more than forty of the pa- 
tients whom I have treated for involuntary seminal dis- 
charges, had taken nitrate of potass in some form or 
other ; and all, without exception, found themselves 
worse afterwards. Many of them also observed the 
?ame effects from preparation of squill, and, in fact, 
ir after, and had never suffered any injury of the part, 
ill other diuretics." 


This article is generally used by physicians to expe- 
lite delivery in females, by increasing the action of the 
fomb. It also acts as a stimulant to the male genitals, 
6y creating an inflammation of them, which of course 
produces seminal emissions. It is a dangerous and 
highly injurious drug. 



This is the most dangerous of all the articles I have 
ret mentioned, and therefore should never be thought 
~){ for a moment, especially by those who are not per- 
fectly well acquainted with its action. Its effects are 
■similar to cantharides, only a great deal more energetic, 
>hich renders it so much move dangerous, for its inju- 
ries are not easily recovered from 

There are various preparations of this mineral, which 
have been and still are used by a great many physicians 
in the treatment of spermatorrhoea. In what respect 
they consider it beneficial, 1 do not know, unless as a 
tonic ; that is what it is given for, no doubt. As a tonic 
for the system, it is useful in the proper cases, but as 
to any special benefits, or any particular influence di- 
rectly on the genital organs it possesses, I think is very 
indefinite and unsatisfactory indeed. Almost every pa- 
tient who conies to consult me, after having been under 
previous treatment, has used one or the other of its dif- 
ferent preparations. 



The reader will have noticed what some of my pa- 
rents experienced, by compressing the urethra at (lif- 
erent places, from in front of the testicles, back as far 
~.s the anus, for the purpose of preventing an erection 
"f the penis and the semen from being ejected. I have 
~.lso copied cases from M. Lallemand, where the same 
neans had been used by his patients. Fournier and 
3egin both had patients who had adopted the same 
Heaii? to prevent the Femen from escaping, thereby, as 


they thought, effecting a cure. The different meant 
adopted to attain this end, I will now mention. 

A few years ago I had a patient, aged about thirty, 
who had, among the rest of his numerous successful 
remedies, adopted this one, and for a long time he sup- 
posed he had rid himself entirely of the harassing and 
dreaded nocturnal pollution*. At night, on going to 
bed, he would wind a piece ot tape losely around the 
penis while it was in its natural state. This would 
cause pain, when the penis became erect during the 
night — which it did at that time when an emission took 
place — and wake him from his sleep. For a long time 
he did not see any semen escape from the urethra, and 
he flattered himself — though he had grown weaker and 
thinner — he had hit upon a very simple but sure cure. 
One morning, however, he discovered in the bottom of 
the vessel a thick mattery substance, which led him to 
examine the urethra, when he discovered what he was 
satisfied was semen, gradually oozing out, after he had 
passed urine. By examining the urethra after stool, he 
discovered the same thing, and, as his erections had 
ceased for some time, as well as all feelings of venereal 
excitement, he knew the semen was gradually escaping 
almost constantly. The physicians he had before con- 
sulted, not benefiting him in the least up to the time he 
applied his own remedy, he very wisely came to the 
conclusion not again to put himself under their charge. 
This was his situation when he applied to me. In a few 
weeks I cured him of his pollutions, and in a year after, 
he was a married mau, in all the enjoyment of good 

A great man3 T of my patients have adopted different 
means for the attainment of the same object- -that is, the 
escape of semen. Some have applied pressure on the 
pereneum by means of a pad ; some have placed grooved 
pieces of wood on each side of the penis, with tape 
wound around it ; others again have procured rings 
to fit the penis ; but the result in every case has 
been to cause the semen to flow into the bladder 
instead of out, through the urethra, which would not 


have caused half as much injury as resulted from the 

In Case 37 of M. Lallemand's work, the patient rup- 
tured the urethra by compressing it to prevent the dis- 
charge of semen, and which was followed the following 
day by a discharge resembling a gonorrhoea, and which 
he only succeeded in curing by cauterizing the canal. 
In this case this one compression created so much irrita- 
tion as to immediately cause involuntary emissions. 
The strangulation or compression of the urethra causes 
so much irritation at the orifices of the seminal ducts 
that it produces an inflammation in that part of the 
canal which extends itself either way, and, finally, if 
the practice is continued for only a short time even, 
will cause a stricture, (and in some cases I have found 
as many as three in different parts of the canal which 
were irritable and otherwise very bad), in addition to 
the diurnal pollutions, an inflammation of the prostate 


In one of my cases, a man of about forty years of 
age, was so severe that it ulcerated and endangered his 
life. The bladder is sure to become involved also, as 
will be seen, when you consider the amount of the for- 
eign substance that is being constantly thrown into it 
The inflammation of the bladder, in these cases, is often 
of the severest nature, and sometimes requires a long 
time, with the most energetic treatment, to restore it to 
its natural state. 

Every human being, with an intellect sufficient to 
enable them to distinguish between right and wrong, will 
at once brand those who continue to use such mechani- 
cal treatment, in defiance, and regardless of such unde- 
niable proofs, of the certain injury to those persons who 
may be so unfortunate as to accidentally adopt their 
mode of treatment, as arrant knaves and impostors, or 
ignoramuses, that would do mankind a better turn by 
Btreet-sweeping than the practice of an honorable pro- 
fession. Such, however, I am sorry to say, are base 
enough to advertise appliances of the above description, 
as great inventions, and the only thing that is capabl* 


of effecting a cure. One impostor, to more easily mis- 
lead the ignorant, says, "the meaical faculties in Eu- 
rope use them." The assertion is a base falsehood; 
the public will rightly judge such a character. 

When any person is so unscrupulous as to say, that 
there is no one else but himself capable of effecting a 
cure, of whatever complaint he may mention, it seems 
to me the public would be unanimous in condemning 
him as an impostor, for no one but a knave would have 
the effrontery to arrogate to himself such superiority 
over all others. There is a falsehood ou the very face 
of all such declarations, which humanity at this en- 
lightened day should be able at once to discover. The 
treatment/ remedies, of all such persons, cause a thou- 
sand times more injury than the disease itself, as I 
think these pages sufficiently prove. 

M. Lallemand says, "Anti-venereal treatment is 
frequently also employed for patients who have suffered 
aierely from blennorrhagia, and in a very numerous 
class of cases it produces a serious increase of the irrita- 
tion in the genital organs, and causes the appearance or 
exasperates tho effects of involuntary spermatic dis- 
charges." Cases of this nature often present consider- 
able difficulties of diagnosis ; and the solution of these 
obscurities is always of much importance in determining 
the treatment to be followed. 

Anti-venereals are not the only therapeutic agents 
which produce such unfortunate effects ; those which a 
blind routine of practice employs in cases of blennorr- 
hagia have not been less injurious. Among these it is 
especially necessary for me to mention astringent in- 
jections, copaiba, cubebs, tonics, and bitters, employed 
too soon, or in extreme doses. All these means act 
more or less by exciting the genito-urinary organs ; it 
is, therefore, easy to understand that their untimely or 
immoderate use must favor an extension of the inflam- 
mation from the urethra to the mucous membranes, 
which are continuous with it. 

" Lastly, spermatorrhoea is often made worse by the 
very means employed for its removal, and among these 
may be l-anked cold baths, ice. tonics, bitters, sulphur- 
baths, &c. 

"The further we advance the more plainly we shall 


see how necessary it is for the different forms ot sper- 
matorrhoea to be described as simple affections — how 
necessary it is to regard tr em in all their aspects, and to 
take account of all the circumstances which assist in 
producing them. In practice we find it indispensable to 
weigh well all the points connected with a case of sper- 
matorrhoea, before deciding on any diagnosis, prognosis, 
or especially on our treatment." 




The following extraordinary case of Nymphomania 
was related to me by one of the most prominent phy 
sicians of this city : — 

Miss , of a wealthy and highly respectable family, 

residing in onp of the thousand-palaces of ■ avenue, 

attracted my attention while engaged in my professional 
attentions to a member of the family, by marked respect 
at first ; soon, however, her manner changed to sociable 
familiarity. Yet I only regarded this as a clever display 
of a brilliant mind, highly educated. Subsequently, the 
pathetic execution of several love songs, sung to me 
while, apparently by accident, alone with her, led me to 
observe her eouduct narrowly, which the lingering ill- 
ness of my patient gave me ample opportunity to do. 
By closely scrutinizing her conduct, I discovered everj 
possible means resorted to, to secure my company and 
attention. Thus, from day to day I observed the de- 
velopment of criminal passions, in this beautiful crea- 
ture. The slightest accident soon directed my atten- 
tion to the real cause, not until, however, after frequenl 
and extravagant demonstrations of a criminal passion, 


heated by an ardent temperament, perpetrated the 
warmest and niDSt eloquent declaration of love. 

The affair now assumed an alarming aspect. I being 
her senior and a married man, I reasoned, remonstrated, 
threatened to disclose the whole conduct to her parents, 
which only fanned the passions to a blaze. 

The accidental discovery of the cause occurred in this 
way : — In going to my patient's sick-room I passed, one 
warm evening, the bath-room, the door of which stood 
ajar ; a glance revealed the secret of this strange con- 
duct. 1 saw this poor creature sitting in a bath, which 
her mother told me that she too frequently used as a cold 
sitting-bath, asking my opinion of the propriety. 

1 observed, alter the bath, her conduct was invariably 
modest. The cause of this stringe conduct then was 
inflammation and excessive irritation of the genital 

After a consultation with the parents^ explained t6 
her, her situation, which I was always compelled to do, 
immediately after the cold hip-hath, to prevent the 
immodest conduct of the absolutely insane young lady. 

This then, sir, is the ease for which I wrote you the 
note asking your plan of treatment, which, I am happy 
to acknowledge, speedily restored my unfortunate patient 
to perfect health, and who is so grateful to you, as I 
deemed it my duty to tell her confidentially that you 
was the savior of her virtue, of her health, and of her 

She begs you will accept the accompanying $100 note, 
with the wish that you will give her the opportunity to 
make her personal acknowledgments. 

Yours, truly, M. D.. 

Bleeckcrst., N. V 

New York, June 11, '52. 
Dr. Larmont: 

Dear Sir, — In answer to your request of the publi 
cation in your popular work, of the interesting case of 
nymphomania, for which I consulted you, I am happy 
to inform you that the young lady feels so greatly in- 
debted, that for the sake of humanity and in considera- 
tion of your invaluable services, she cheerfully consents 
to your request- 


It ia not necessary, of course, to ask to cmceal every- 
thing that would lead to suspicion who our patient is. 
as the delicacy of a charming, talented and admired 
young lady, would suffer the deepest mortification, al- 
though her conduct was the direct consequence of phy- 
sical disease. Accept my kindest regards, 

yours, truly, M. D., 

Bleeckerst.,N. Y. 

This case is one only of a number which has passed 
under my own knowledge. The complaint produced 
what we might call a species of monomania. Whether 
the ardent temperament ! an over-healthy or very vigo- 
rous constitution ! ascarides or worms in the rectum ! 
or masturbation, is the cause, the result is the same. 
Such — yes, many cases like this, do exist, and parents 
and guardians should be able to obviate a criminal 
result, by arranging a proper marriage ; or, if pro- 
duced by any foreign excitant, as masturbation, or the 
troublesome and tormenting little worms, the experi- 
enced physician in the cure of these complaints, should 
be consulted, without a day's delay. By adopting these 
timely remedies, they may not only save their child or 
relative from an ignominious and horrible end, but 
themselves from everlasting disgrace. 

Onanism particularly exists among females ; and 
that too, to a very alarming extent. It is scarcely pos- 
sible for an unprofessional person to conceive the long 
train of ills it produces, it is a knowledge of this 
fact, as I have stated in the preface to this work, that 
induced me to present to the world truths which will 
serve as a saving monitor to the unsuspecting of both 

We address these few pages to mothers and guardians, 
with the two-fold view of furnishing them with the 
means of preserving the morals of their daughters, and 
of sparing them the pain and »orrow of seeing them 
wither and perish at an age wh^n they ought to be the 
ornament of their domestic circle, and enjoy health and 
happiness. This life-destroying habit, will enable pa- 
rents and guardians of youth, to recognize by number-^ 
less symptoms, the gradual disease which is hurrying 


them to the tomb ; arid I must reiterate a previous asser- 
tion, that I cannot hut hope this work will be the means 
of saving many from a lingering suicide. Let every 
mother, father, and guardian, therefore, read this work, 
and they can learn from it, whether their children or 
charges are safe from this vice, or have strayed from 
the paths of health and chastity. 

Have you ever seen a lovely flower, when the least 
breath would scatter its leaves to the winds of heaven, 
ind yet retain its original loveliness 1 Such a flower ia 
the innocent child which is on a brink so perilous, that, 
unless warned at once, is'suro to perish and leave sor- 
rowing relatives to mourn its loss. 

Health and beauty are not the only blessings to be pre- 
served ! All moral feeling, all proper sentiments, the 
happiest gift of intellect, and every hope of happiness 
will surely be destroyed. 

Those individuals who yield themselves up to the en- 
joyment of solitary pleasure, to secret pernicious habits, 
soon exhibit more or less the symptoms of tabes dorsalis 
—a species of consumption. At first they are not trou- 
bled with fever ; and, although they may still preserve 
their appetite, their bodies waste away ; walking par- 
ticularly wearies them and produces profuse perspira- 
tion, headache, ringing in the ears, derangement of the 
serves and brain, and terminating with stupidity. The 
itomach becomes deranged, the patient is pale, dull and 
indolent; their eyes are hollowed, their bodies thin, 
•.heir legs can no longer sustain them ; they are totally 
anhinged, incapable of any exertion, and in many cases 
Attacked with palsy. The weakness and constitutional 
injury thus produced are the reasons why such patients 
Sear less easily those diseases which all are subject to. 
The chest particularly becomes affected, indigestion 
lomes on, the most robust girls are soon rendered weak ; 
tnd sometimes a slow fever, a rapid consumption, or 
apoplexy, soon terminates the scene. 

Such are some of the evils produced by solitary im- 
prudence — evils which have attracted the attention of 
some of the most celebrated physicians of antiquity, as 
Hippocrates, Coden, Celsus, which I have already 
quoted at length, Aretcus, Atius, &u. Other physicians, 
ivho have enjoyed great celebrity in modern times, con- 


firm the observations of the ancients, and increase th« 
frightful catalogue of ills which the medical writers of 
antiquity had described. Men of such celebrity as 
Sanctorious, Lommius, Hoffman, Boerhave, Van Swie- 
ton, Kloehof, Mechel, Huller, and Harvey, all of whom 
have described in vivid and fearful color* the diseases 
of those who are addicted to solitary vices, must con- 
vince the most skeptical. Hofl'eland, speaking of young 
girls who are the victims of this fearful vice, says — " She 
is a withered rose, a tree whose bloom is dried up ; she 
is a walking spectre." 

"How many persons," exclaims the venerable Portal, 
a physician who published ' Observations on Pulmonary 
Consumption,' "have been the victims of their unhappy 
passions ? Medical men every day meet with those who, 
by this means, are rendered idiotic, or so enervated, 
both in body and mind, that they drag out a miserable 
existence ; others perish with marasmus, and too many 
die of a real pulmonary consumption." 

We have the most indubitably awful proof under our 
own eyes every week, by reading the deaths reported in 
the different cities. Notice the preponderance of deaths 
of those over ten years, from consumption, apoplexy, 
marasmus, and epilepsy, and you must be convinced 
there is some unknown secret cause, to hurl so many 
into eternity every day, from these diseases. 

In a work upon the terrible malady of Rickets, the 
writer Bays, while speaking on a particular form, that 
young persons who yield themselves up to the seduction 
of solitary pleasures are often the subjects of the disease, 
and he cites a number of cases which came under his 
own observation. Among them, he mentions that of a 
young female of seventeen who died suddenly of them, 
and which were brought on by masturbation. These 
are his words — " I saw a young girl of seventeen, of- 
puny stature, but who became so rapidly curved, that 
in six nonths she was quite hump-backed. The chest 
was thrust in at the base of the breast-bone ; there was 
a complete hollow at the region of the stomach, while 
the belly protruded." 

A justly celebrated physician of Lyons, who gave 
himself up for many years to deeds of benevolence and 
humanity, the sensible author of a work entitled 'Me- 


dium of the Heart,' M. A. Petit, seeing the number of 
maladies which the indulgence of solitary habits pro- 
duced, thought it was necessary t« erect a monument to 
one of the victims of this vice, not only to avert its 
danger, but to attest its power in the production ol 
pulmonary consumption. In his preface he says — " Let 
it be known that pulmonary consumption, whose horri- 
ble ravages in Europe ought to give the alarm to all 
governments has drawn from this very source its fatal 
activity." And then, in the most eloquent verses, he 
speaks of the last moments of an unfortunate victim 
whom he himself witnessed, and whom the tomb of 
Mont Cindre had closed upon, while yet in the very 
spring of life. This example is one which has occurred 
in our own times, and the tomb is placed on one of the 
fertile mountains which border the Saone on the north- 
west, in approaching Lyons, and the unfortunate victim 
who has there found her last resting-place is not yet, in 
all probability, become part of that clust which has re- 
ceived her. Her miserable error had doubtless been of 
too long duration ; the blow her constitution had re- 
ceived, was too deep. 

Baron Boyer, in his ' Treatise on Surgical Diseases,' 
believed that this constitutional injury may even be 
prolonged to old age, wheu this kind of abuse allows its 
victim to attain it ; and that is a secondary cause of 
many of those cases of dry gangrene, which are observed 
at that period of life. 

These solitary habits in many females produce a 
swelling of the neck, from the force and frequency of 
those convulsions which so often follow the repetition of 
this imprudent act, as well as by the arrest of blood 
which it occasions in the principal vessels of the neck, 
in the same way as is observed in epileptic patients. 
The complexion assumes a yellow tint in some, while 
others find their skin become covered with scurf. 

Professor Kichard reports in his ' Chirurgical Noso- 
graphy,' a very remarkable example of the power of 
this cause in the production of eruptions : — " A lady had 
at the same time this pernicious habit and an eruption 
of blotches. She was advised to discontinue the practice ; 
ithe did so, and they disappeared. She again took up 
the habit ; the eruption again made its appearance " 


her reason again taught her the error of her ways, and 
she once more conquered the penchant, and she was never 
again troubled with those blotches which had so dis- 
figured her." 

Some persons are troubled with cramp in the stomach 
and pains in the back ; some will have pains in the loins 
and kidneys ; others suffer from pains in the upper part 
of the nose, in the summit and back part of the head, in 
the groins, as well as in all the limbs ; lucorrhoea or 
whites, acrid and irritating discharges of different kinds, 
fluxes, hemorrhage of the womb. While some are 
afflicted for the remainder of their life by relaxation and 
fall of this organ — pains, at first vague and undefined, 
then fixed — so me times dull, at othertimes excruciating — 
are in others but the signs of scirrhus or cancer of the 
womb itself. The belly becomes enlarged, hard and 
distended ; the eyes are surrounded with a leaden-hued 
circle ; the enamel of the teeth assumes a grayish white 
color, and no longer presents that exquisite polish nor 
that ivory tint which has cauSed them to be compared 
to pearls encased in roses. 

A number of painful ulcers are sometimes found on 
the tongue and the interior of the mouth. A lady had 
abandoned herself to all the intoxicating enjoyment of 
solitariness. When she gave way to these excesses her 
mouth was filled with ulcers of the most distressing 
kind ; when she ceased from these imprndent acts, 
these ulcers disappeared. The flesh loses its solidity, 
and becomes flaccid, paleness ensues, wasting wrinkles, 
inaptitude for all kinds of work or exercise, take the 
place of the freshness, the soundness, the grace and ac- 
tivity of the body ; the bosom, which by its exquisitely 
developed beauty, shows that the age of puberty and 
love has arrived — the bosom, whose fullness in tho 
young mother shows that it incloses an abundance of 
that nourishment so necessary to the tender state of 
man's infancy ; in those who yield to this habit, ex- 
hibits nothing but the meagre outline of what it should 
be, and cries aloud the truth — speaks of nothing but 
eternity. If such persons enjoy health, they must loso 
it ; if they are attacked with illness, their restoration to 
health is difficult ; if they are so fortunate as to recover 
they are ever liable to be again assailed. Proper habiti 


are no less necessary for a perfect restoration to health 
than proper sleep, exercise, and pure air. 

Solitary vicious habits have great influence in develop; 
ing scrofulous diseases. • The white swellings which ap- 
pear in various parts of the body, and filled with a 
white humor, inclosed in a membraneous bag, formed 
from the muscular tunicles, are very common : and we 
cannot doubt that this disorder, which is a species of 
scrofula, owes its increase to the misfortunes that are in- 
separable from war and its attendant privations. But 
what ravages has it not made among persons who have 
destroyed their constitution by the deadly incentives of a 
vicious solitude ! The hospitals in Europe teem with . 
subjects worn out by the suppuration of these tumors, 
who owe their frightful fate to this habitual vice. The 
degeneracy of morals, the absence of principle, and the 
contagion of example, united with unavoidable priva- 
tions, have multiplied the forms of scrofulous swellings, 
which were very rare, and of which the cure is attended 
with the greatest difficulty, in proportion as these com- 
bining causes continue. 

Human nature will always be human nature ; and 
necessarily will be mixed up with both vice and virtue. 
Was not this vice common among the Jews since it so 
forcibly drew down the attention of their Legislator, 
who felt himself compelled, in order to restrain its pro- 
gress, to bring home to the imagination of his people 
the terrible example of Onan, mentioned in the first part 
of this work 1 

The celebrated Joubert, chancellor of the University 
of Montpelier, one hundred and fifty years ago, com- 
plained also, in his Treatise on Popular Errors, of the 
calamities that this very vice entailed on its votaries of 
both sexes. Finally, is it not true in this nineteenth 
century that many dissertations are published on this 
same subject 1 

The vicious (solitary) habits then are, beyond a 
doubt, unhappily too common ; -but who can say, they 
were less so in by-gone times I But, however that may 
be, there is no abatement in their effect. For if we 
except poisons and some few frightful maladies, the 
human system has no greater cause of destruction to 
dread than their sinful secret vices. 


Sydenham says, " The organs of respiration are the 
weakest of all those belonging to the human race ; two- 
thirds of mankind die of diseases of the lungs ; and the 
most common period in which young persons resort to 
these vicious habits is precisely that wherein the chest 
exhibits the greatest susceptibility. There is, more- 
over, a species of consumption to which women are 
greatly exposed by the very nature of their constitution, 
such as tuberculose and lymphatic consumption." 



Poets have described life to be the dream of a sha- 
dow — a species of flight ; have feigned that the gods 
did not make man a present of life, but that they rather 
sold it to him. Our life may be truly said to be the 
dream of a shadow ; but this shadow has feeling — is 
endowed with understanding, and by acting wisely, the 
dream may be rendered- a long and happy one. 

That our existence is fugitive, the rapid succession of 
years, the flight from infancy to youth, from youth to 
old age, and from old age to the dust that follows it, 
abundantly testify. But we are in possession of a means 
of giving to this varying existence — which has so mani- 
fest a tendency to its own destruction — a more fixed 
character ; and that is moderation, the source of all 
virtue and of all happiness. The Author of our being, 
in granting us life, appears indeed to have surrounded 
it with numerous duties ; but duties are not burthen- 
seme, when those by whom they are imposed furnish 
their tributaries, at the same time an inexhaustiblo 
treasure, by which they may be freed from them. With 
this treasure we are well acquainted ; it is deposited 
within us ; we are allowed free access to it, and indeed, 
are enjoined to draw from it ; and if mankind would 
only make use of it, if they wou'd boldly render them- 


lelves subservient to their reason, they would soon 
discover that nature was really desirous that they 
should be happy. 

It must nevertheless be admitted, that if Heaven has 
granted to man the splendid gift of reason, it has at 
the same time rendered it very necessary for him. No 
other animated being is subject to such numerous 
diseases, none die from such variety of causes, and none 
bear within them so many germs of evil as himself. II 
he knows not how to use those means which have been 
bestowed upon him for preserving himself from them. 

But if we may look upon life as the dream of a 
shadow — if it be no more than a fugitive existence — if 
we may in some degree say, not that the Supreme Being 
has sold life to us — for that would be impious, if taken 
literally — but it would still seem that it may be so said 
of those, and that dearly sold too, who have given 
themselves up as victims of a solitary vice. 

Independently of the disposition of the human species 
towards so many different affections, each individual 
has a particular tendency to one or more kinds of de- 
struction, by the unequal division of strength, whereby 
the organs of which they are endowed ; and the truth 
of this is daily attested in our intercourse with the 
world, when we hear that such and such a one has a 
weak stomach, a delicate chest, &c. ; and as the weakest 
organs are the first to suffer from the influence of the 
causes of disease, and as there can be none more power- 
ful than evil practices, it may be safely predicted jof all 
persons yielding to the delirium of solitary vice, the kind 
of malady their imprudence will bring upon them. In 
vain it will be believed, that we do not bear within our- 
selves the " beau ideal" of human organization ; and 
even though so extreme a, favor might have been 
granted to some individuals, it, nevertheless, cannot be 
contended that such a perfect organization is unaltera- 
ble. Even Thetis herself could not render Achilles in- 
vulnerable throughout the whole of his body. 

Bickat, in his General Anatomy, advances a similar 
opinion, and which has now for a long time been esta- 
blished. He says, " Life is a great exercise, which 
keeps by desires the various organs in motion, and 
which leads at length to their repose — this repose ii 


death. But each organ arriTes there more or less Boon, 
according to the desire of strength with which it is in- 
vested — proportioned to the greater or less disposition to 
exhaust it — in the course of this great exercise." 



Persons who are devoted to secret vicious habits, 
whether they be characterized by the delicacy or the 
too great activity of the nerves, may rest assured that 
they will become epileptic, subject to fits, to palpitations, 
and all other nervous affections. 

Any one who may observe a woman who has not been 
irreproachable in such secret practices, of an apathetic 
charactea, weak and languid appearance and pale com- 
plexion, you may be assured that sne will become idi- 
otic. Mankind cannot imagine the effect these prac- 
tices have on the present generation, or the destructive 
influences and consequences that will ensue to those in 

If pale and sickly children could only be preserved in 
their early innocence — if those whose parents have fallen 
fiotiins to pulmonary complaints, could only be kept 
^aste — if persons who are subject to consumption, would 
only lead a life of purity, we should soon discover that 
Buch disorders of the chest are neither so hereditary nor 
infectious as they are supposed to be. If the innocent 
offspring that I have cured of venereal affections, knew 
Vhe cause of their infirmities and sufferings — their 
mainlines through their whole lives — they would curse 
— (and 1 think properly so, too) — the very beings — the 
very parents — who, as instruments in the hands of Di- 
vine Providence, gave them their existence. 

My extensive experience, in treating all classes, ages 
and sexes, for venereal affections, has not only convinced 
me, but has proven, that a large majority of tha 


scrofulous diseases have been directly produced by tb8 
parents or ancestors having had venereal diseases.j and 
did not — though they may have supposed so — have the 
poison entirely eradicated from the system. All per- 
sons, then, who have ever had any disease of a venereal 
character, should know — by applying to me — whether 
anything of the kind is still iurking in their system, 
awaiting an opportunity — from some peculiarly exciting 
cause — to show its hydra head. All judicious persons 
will certainly not lose any time in attending to it. 

Many of the offspring of venereal affected parents, die 
in infancy ; many are dead when born ; but those who 
do linger, and drag out a short and painful existence, 
merely postpone their existence a little longer, only to 
descend at a later period to an early and disgusting 

I will hasten from this painful subject to one more in 
consonance with chastity, and refinement of the feelings 
nature intended us to be possessed of. 

Every animated thing — the plant, the brute, the hu- 
man species — are born delicate and fragile, and grow up 
in strength ; the tender shoot of the oak becomes a hardy 
tree ; the weakest infant — if its source is healthy — a 
soldier, a laborer, a vigorous man — if nothing be done to 
prevent it. If nature sleeps, languishes, or is deceived, 
it knows when to awaken and retrieve each error — if it 
be not incessantly thwarted or crushed — no matter by 
what means. The Author of nature has traced out its 
steps, has dictated its laws ; and a premature death, the 
melancholy consequence of evil practices, is only one of 
the rules of his immortal code ; let them, therefore, be 
engraved on the heart. 

How much it were to be desired, that persons would 
not so frequently despise themselves in the world, and 
that they would not invariably attribute to family dis- 
ease, or the contagious nature of consumptions, that 
which is traceable to vicious habits alone. Persons born 
of healthy parents, of sountl constitutions, and who 
themselves are quite robust, and always breathing a fine 
air, find the chest affected by their evil habits, and the 
grave opening before them, long before their time ; 
while, on the other hand, they on whom heaven seenid 
only to have bestowed a very short life, are preserved, 


by a purity of condnct, to the limits of extreme old 

Far then from asserting that persons afflicted, as pre- 
viously mentioned, are to be despised or blamed ; I think, 
on the contrary, that with some (as I have there stated,) 
it is more the result of an unhappy destiny than merited ; 
and that every motive of benevolence urges to pity, and 
a relief of their condition. The blame we may feel dis- 
posed to attach to some persons for their bad formation. 
You will remember, I have mentioned that rickets are 
caused by masturbation — can only be addressed with 
justice, to those whose childhood and youth have not 
always been free from reproach. It is easy to distin- 
guish between those whom we ought only to pity, and 
those whom we ought, at the same time, to blame. 
The former have the head large, relatively to the rest 
of the body, and the arms long — as it were, drawn out — 
the latter do not show these peculiarities. They first 
are usually gay and lively, while the second, on the con- 
trary, combine with their deformity extreme stupidity 
and inertness. All functions, except respiration, are 
well discharged by the former ; with the others, all are 
accomplished badly and languidly. These always ap- 
pear to be laboring under a severe malady, and are in- 
capable of any toil ; while those are wholly free from 
this appearance, and daily engage in occupations more 
or less difficult — in study, in the cultivation of science, 
and the practice of the arts. 

What will become of a lady's beauty when her health 
is deeply impaired % It can only bloom and disappear 
like the withered form and faded color of a flower nipped 
in the bud ; or, to make use of another comparison, like 
the ruins of a temple destroyed by profane hands. It 
loseo the elegance and majesty which delighted the 
imagination and inspired respect long before yeais and 
decay would have impaired those qualities. A young 
woman is this temple, and must expect to lose all the 
attributes of beauty, when once she gives herself up to 
this most destructive of all passions. The growth of 
the body, the development of the figure, all grace and 
freshness, will disappear ; for this error spares no charms. 
No doubt the words of a celobratcd physician, respecting 
a rotary of this solitary vice, will recur to every mind — 

% 77 

Tut. 78 


"She is a tree withered while blossoming — a perfect 
walking skeleton." 

What a different picture those young females pre- 
sent who display so agreeably all the charms of their 
tender and admired sex. Consider a girl at the age 
when the attractions of youth succeed the grace of in- 
fanoy ; happy is the maiden who preserves her primitive 
purity, when, like an unknown lake, in the bosom of a 
lovely country, her imagination as yet has only reflected 
the heaven above and the verdure and the flowers 
around. She appears to unite in her person tho rarest 
charms of all the universe. 

If man be the Lord of creation, such a female is 
surely the ^ queen. But this grace, and this fresh and 
fair complexion, are never to be met with in persons 
consumed by disease ; and these portraits, presented to 
us, under the name of goddesses, are those of persons 
who have really existed. Thus Fontaine, when ho 
covered with roses and lilies the Venus whom Homer, 
three thousand years before, had begirt with the en- 
chanting zone, was no doubt thinking of the young and 
virtuous La Sabliere. And probably Virgil was in- 
debted to some princess of the court of Augustus for the 
majestic air which excites our admiration in his Dido. 

(Jan health and grace exist without innocence and 
modesty 1 Chastity is the daughter of Modesty, and 
therefore health cannot long be enjoyed without chas- 
tity. Socrates said long ago, that a handsome body 
gave promise of a noble soul. Some ancient philoso- 
phers, have supposed the soul to be a kind of divinity 
inclosed in our bodies ; certainly the sweetest rays of 
the Divinity are found nowhere so conspicuously as on 
the brow of a woman worthy the esteem and confidence 
of her husband. One of the wisest men says, " The 
beautiful of every description is beautiful of itself. It 
exists in and of itself ; praise forms no part of it. Thus 
nothing becomes better or worse from the opinions of 



The same remarks that the reader has found in the 
previous pages of this work, relating to the false mo- 
desty heretofore existing on the subject of masturbation, 
and which has stifled the horrid truth relating to it, 
from sooner having become known to the world at 
large, is applicable in the fullest sense to the awful sub- 
ject now before us 

It is, like masturbation, one of those subjects so 
fenced and hedged around by ignorance and false mo- 
desty, that the very silence and darkness allowed to 
pervade and surround the disease, has continued to 
propagate and augment its ravages. The least fa- 
miliarity with the customs and habits of the city, or a 
knowledge of a tithe of the haunts of vice, will reveal 
the fact, that tens of thousands are living amongst us 
by open and private prostitution. What might be con- 
sidered as gross satire and superfincd didactic criticism, 
might be translated and published, and the community 
could not deny that it was a fair description of every- 
day life, as it exists in the pseudo moral atmosphere 
of almost every city and country. 

The very virtuous and ignorant may occasionally 
hear of some shocking case evolved in the horrid dens 
which abound in the large cities, or seeing some of their 
bloated and disgusting inmates, may be thankful, with 
complacency, that the vice is confined to those localities, 
and to such self-degraded objects ; and as a writer in a 
daily journal said, "If victims be necessary for such a 
Moloch, would that such were the case." 

While such a horrid evil exists, is it not surprising 
that no remedy has been found and applied as a cure and 
preventive 1 Those females, who, in their conventions 
advocate the rights and claims of their sex, with an elo- 
quence equal to the efforts of the sterner sex in their po- 
litical struggles, have entirely overlooked this subject, 
yet it more vitally concerns their honor and the welfare 
of humanity. 

Mr. Fowler has battled, and done well, with this mon- 


Bier, whose victims are innumerable, and I learn ha* 
been ably assisted by Mr. Wells, Mr. Woodbridge and 
Mrs. Gove, with a degree of womanly courage and 
modesty, which cannot be too highly praised. 1 have 
no doubt others would have joined in the noble work, 
but for the erroneons idea, the more publicity you give 
to the subject, the more would be its increase and dis- 
semination. It is to be hoped, however, that this argu- 
ment will be forever refuted, before many more victims 
are sacrificed from its belief, for I am pained to say the 
range of this could hardly be extended any further than 
it is at the present time. 

There is too much sickly sentimentality afloat, in re- 
gard to the unfortunate females who prowl about the 
streets of cities in search of their prey. There are un- 
doubtedly among them those who are the victims of 
false promises, and of vile, heartless, and accursed se- 
duction ; but the number, I think, is comparatively 
small. It is, in fact, very seldom that men or women 
descend at one step from virtue to the lowest condition 
in vice. Persons in the height of passion, will slay their 
oppressors or adversaries ; but the mind requires to be 
familiarized with guilt, and the walls of virtue require 
to be sapped and undermined, before they tumble to 
pieces. Men neither become drunkards, robbers, for- 
gers, nor counterfeiters, all of a sudden. They have 
trained and habituated their minds to crime before its 
commission. Their fall may appear rapid, but if the 
truth were known, it has been by a road that they had 
labored hard to prepare. It is just the same with fe- 
male prostitution. The idea of a female that is vir- 
tuous, at once betaking herself to the streets, is pre- 
posterous. This, therefore, leads us to consider the 
way by which females reach this sad state of abase- 

Speaking of ■ early vice, Mr. Fowler says, "I would 
not defame my race, but facts extort the reluctant de- 
claration, that few have more than the faintest concep- 
tion of the fearful extent to which this vice (mastur- 
bation) in all its appalling forms is practiced. It is the 
destroyer of our youth of both sexes, and still more of 
our husbands and wives." Chatecise, promiscuously, 
every boy you meet, and then say, if nine out of every 


ten, from eight years old and upwards, do not practice it • 
more or less 1 and I have not the least doubt that 
nearly every one does so, after they have arrived at the 
age of puberty. No child is safe from this loathsome 
habit ; and, as I have previously shown, our schools are 
especially the nursuries of this vice. 

Mr. Woodbridge, in the 'Annals of Education,' says, 
" The fatal vice is spreading desolation throughout our 
schools and families, unnoticed and unknown." Our 
boarding and day-schools are sources of untold mis- 

A writer says, that " at West Point, the mental de- 
bility occasioned by this vice was the reason why so 
many of its students were unable to pass examination." 
" But," continues Mr. Fowler, " our families at least are 
safe. Exclaims the fond mother, ' My daughter's na- 
tive modesty is her shield of protection.' Would to 
God this were so ; but facts wrest even this consolation 
from Us. They may be less infected ; yet women, young 
and modest, are dying by thousands, of consumption, 
of female complaints, of nervous or spinal affections, of 
general debility, and of other ostensible complaints in- 
numerable, and some of insanity, caused by this prac- 

Mrs. Gove, in her ' Lectures to Ladie3 on Anatomy 
and Physiology,' says — " About eight years since my 
. mind was awakened to examine this subject, by the pe- 
rusal of a medical work that described tho effects of this 
vice when practiced by females. This was the first in- 
timation I had that the vice existed among our sex. 
Since that time I have had much evidence that it is 
fearfully common among them. There is reason to be- 
lieve, that in nine cases out of ten, those unhappy fe- 
males who are tenants of houses of ill-fame, have been 
victims of this vice in the first place. Professed Chris- 
tians are among its victims." 

Here, then, is the fountain from which prostitution 
flows. Need we wonder at the number of its votaries, 
or be surprised at the unhappy marriages of which we 
daily hear, and at the frightful mortality among chil- 
dren in the early months of their existence "! How do 
parents discharge their responsibility in guarding, by 
caution and advice, their children, from this deplorable 


vice and its hideous consequences 1 In the familes of 
Quakers, and in strict Catholic families where th« 
duties of the confessional are attended to, the uses and 
abuses of the instincts, passions and affections are 
pointed out to children, and they are taught to regu- 
late and control their desires and appetites. In most. 
families, however, children are left unguarded against 
the bad example of their elder associates, and habits 
are acquired and formed, in innocence and in ignorance 
of many evil consequences, either moral or physical. 

It would seem sufficient to inform children of the 
baneful effects of a vice which exhausts the body, de- 
stroys the eye-sight, impairs digestion and circulation, 
deranges the brain and nervous system in an astonish- 
ingly short time, thereby impairing the mind, destroys 
the possibility of a healthy offspring, and stamps the 
face with its marks and signs as visibly as does the 
emall-pox. Let parents and guardians exert themselves 
to avert this wide-spread and insidious contagion, and 
use their influence to promote marriage, and our streets 
will cease to be filled by wanton harlots and licentious 

My own practice is constantly presenting me with 
the most heart. sickening cases of females who were once 
of the highest respectability. The last case of this kind 
was very recent. 

It was that of a young female teacher residing in this 
city. Her ardent temperament was the cause of her 
commencing the practice, which led on to the greater 
vice of unchastity, but still practicing masturbation at 
frequent intervals, till, when she applied to me, she 
was a mere wreck, of what, she said, she once was. 
Her case presented the symptoms which are portrayed 
in so many of those eases, in the previous pages, involv- 
ing the whole system. To effect a cure for her, required 
patience and perseverance. 

If the size of this little work would permit it, I would 
detail a number of the female cases from my note-book, 
as they are there entered in full, but as it will not, I 
shall content myself with presenting the case of a young 


lady, which it pains me to say, was beyond the reach of 
human ability to restore, or even to prolong her exist- 
ence for any very great length of time. 

About a year ago, a lady called at my office, and after 
inquiring if 1 was the doctor, and if so, whether 1 was 
alone, that she might have an opportunity of privately 
presenting the case of her sister to me, for my considera- 
tion and advice. After requesting her to be seated on 
the sofa, and showing a patient out by a side door, I 
heard her statement, which I here copy in as few words 
as possible. 

She said, her sister was about thirty years of age, 
and had been sick a long time ; but what the real diffi- 
culty was, her folks could not find out, neither from the 
physicians who her father had employed, nor from her 
own statement. Her parents were in wealthy circum- 
stances, and had spared no pains or expense in their en- 
deavors for her cure. As her condition had grown 
worse, while under the charge of their regular family 
physician, they called in others for consultation, until 
they had employed the most eminent practitioners of 
the present age. She had the symptoms of almost 
every chronic disease, which they of course endeavored 
to remove. The cause which produced all this disorgani- 
sation, however, they were ignorant of, aud therefore 
could not remove the effects. 

After continuing in this miserable condition for a 
number of years, she attempted suicide by taking lauda- 
num, but her attendants made the discovery in time to 
frustrate her designs, by the physicians applying the 
stomach pump, and using counteracting remedies. In 
a few days after this, she disclosed the real cause of ali 
her troubles to this sister, on condition that she would 
not reveal it to her parents. Three of the most eminent 
of her physicians were then made acquainted with the 
secret, but their success was no hotter than before. She 
nearly extinguished her feeble lamp of life, after she 
found they could not be of any beuefit to her, by a se- 
eoud over-dose of laudanum, but which was frustrated 
in the same manner as before. Her nerves and mind 


had been so weak for a long time, that they had prohib> 
ited her entirely from reading newspapers. One day, 
by accident, «he got one in her possession, which con- 
tained my advertisement; seeing which, she without 
losing a moment, sent her sister to me. 

If her parents had only known of her complaint i» 
time, so that my services could have been engaged 
early enough to have been of some avail, they might 
have been saved the loss of their daughter, the heart- 
rending scenes and trials, and a very large expense 
Let no person, then, after reading this little unpre- 
tending volume, allow a single day to pass, without 
procuring for themselves, their children, or friends, that 
professional advice which enables me to save thou- 
sands from an untimely grave. 

At the time the sister applied to me in her behalf, 
uhe was wasted to a mere skeleton. Her stomach was 
bo weak that she could retain nothing but liquids in it. 
The sight of a physician would bring on spasms. She 
could only be restrained by force from practicing her 
loathsome abuse. Her mind was extremely idiotic ; 
«hc was, in fact, insane. 

This being her situation, her case was hopeless, as sho 
could not endure or sustain any treatment that could 
be of any permanent benefit, though her father offered 
any fee for her restoration. 

This female patient and a man, thirty-eight years 
of age, who came to me in just about the same 
state, something over two years ago, are the only pa- 
tients I have ever had which I could not cure ; and I 
have had many of the most deplorable patients whose 
disease arose from self-abuse, and an innumerable 
number of horrible and loathsome cases of syphilis, 
which had proceeded so far as to cause the destruction 
of the bones of the limbs and face. 

Dr. Lakmont: 

Dear Sir, — It affords me no small degree of pleasure 
to cheerfully bear testimony to your high private cha- 
racter and standing ; and in a professional point of view 


I am proud to acknowledge your superior knowledge 
and skill in the treatment of gonorrhoeal, syphilitic and 
spermatorrhoeal diseases, as well as the yarious com- 
plaints of females. In fact, sir, it is due to you, that 1 
should speak what I know to be true ; that you are iu 
this branch of the medical profession in advance not 
only of the profession, but ako in advance of your worthy 
and illustrious preceptors, the great Ricord of Paris, 
and the great Acton of London. , 

1 say this not to flatter, but because I have frequently 
seen the happy results of your superior treatment in the 
worst, moslr unpromising, and cases cast off and regarded 
as incurable by able surgeons, in this and other cities 
of the United States, and in Europe. 

Most respectfully, 

H. A. Smith, M. D. 

As I have previously stated, the originals of the above 
and other testimonials, can be seen at my office ; or, 
those residing in the city can bo seen personally, if re- 

Dr. Larmont: 

Dear Sir, — Your very extraordinary success in 
gonorrhoea first led me to cultivate your acquaint- 
ance and friendship. Nor do I regard your present 
disinclination to make your plan of treatment publicly 
known to the profession as ungenerous ; for what you 
have toiled to acquire is yours, unquestionably, and of 

Vou say in your last letter that you hardly know 
whether to edit Ricord's great work on Venereal— here- 
after, by adding copious notes, or give the profession one 
entirely your own. 

Now t regard all or nearly all the works since the 
publication of Ricord's book, as copies, compilations, or 
Benseless alterations of tho above, Acton and a few other 
' valuable works. 

In fact, doctor, we have all of us secrets in practice, 
which we want to reap benefit from before allowing 
others to enrich themselves by them ; yet I am happy 
to learn your inclination to do the profession so great a 


benefit, and through them suffering humanity an ines- 
timable kindness, by by-and-by publishing your vast 
experience in treating diseases of the genito-urinary 

1 must again acknowledge my indebtedness for the 
valuable hints on gonorrhoea and its abortive treatment, 
which I have found to give perfect relief in a few hours. 

I am now about to go to Dublin to remain a few 
days, and when I return to London I will again write. 
Very respectfully, 

J. Curtis, F R.S. 

P. S. — I agree with you in denouncing unnecessary 
surgical operations, and particularly the early opening 
of buboes, which your plan precludes the necessity of 
doing. J. C. 

Dr. Larmont : 

My Dear Doctor, — Yours of Feb. 21st I received 
by our Havre steamer. You seem to regard unfa- 
vorably the plan of cauterization in urethral strictures 
I too must confess much disappointment in the indis- 
criminate use of caustic, which I was early led into by 
its popularity in Paris and Lyous. 1 think if Lallemand 
had lived, that he would have advanced very much the 
unsuccessful treatment' of Spermatorrheea, which he 
brought out of obscurity. Your mode of cure seems, in 
such cases, very novel, and peculiarly your own. I will 
give it a trial, as it looks plausible. 

.So far as chancre is concerned I unhesitatingly say 
you bear off the palm of victory in treating chancres. 
We, on the contiuent, cure as surely as you, perhaps 
but by no means so soon. 

Some of my brethren were skeptical in reading yom 
cases, but Dr Hill assures me you are doing wonders. 
A'i Kevoir, 

Virtue Ami. 



Certificates given me by the patients themselves, foi 
curing them of Emissions, Seminal Weakness, Iinpo- 
tency, and General Debility, after they had been 
under the charge of a number of Physicians, and used 
all of the quack remedies, such as Cordials, Elixirs, 
Antidotes, Drops, Compressions, and Mechanical In- 


, Conn., May 19th, 1852. 

Doctor Larmont cured me of Emissions, and a Stric- 
ture of the Urethra, in a few days, by local treatment 

I commenced the practice of masturbation when about 
twelve years of age, and continued it till within a few 
months. I am a member of the church of Christ, and 
did not suppose I was doing anything more than to sat- 
isfy, in an innocent way, the promptings of an ardent 

The disease had become so general as to cause indi- 
gestion, extreme nervous debility, irregularity of the 
bowels, swelling of the testicles, pain in passing urine, 
and a disagreeably painful sensation of the bladder. 
My mind was affected to that extent, as to cause a par- 
tial loss of memory. Before calling on you, I had taken 
the advice of a physician in Rochester, New-York, and 
two others in Boston, Mass., neither of whom could tell 
me what was my real trouble. I forgot to say, my age 
now is twentv-four. Wm. Cornell. 

case LVIII 

, Conn., June 7th, 1852. 

M. Larmont : 

Dear Sir, — Yours of the 4th came duly to hand. 
In reply I would say, I have had no emissions since I 
saw you. Yours, respectfully, 

J. D. 

I will only say, in reference to this case, that he is 


about twenty-six years of age, and commenced the prac- 
tice of masturbation very young. Previous ts his 
coming to me, ho had been under the charge of three 
other physicians for a long time, notwithstanding which 
his emissions occurred every week. He had attempted 
connection with a female a number of times, but the 
semen was ejected so soon, that he never could accom- 
plish the act till I had cured him of the emissions. Ha 
put himself under my treatment in March, having in 
compeication, indigestion, costiveness, a breaking out on 
his face, and nervousness. 

U , New York, June 20th, 1&52. 

Sir, — I write and let you know about myself. I have 
not had any more of the emissions since I wrote you last 

Yours, M. 

M. Larmont, Esq. 

This gentloman came to me in October, 1851. In 
January, 1852 he wrote me he had within that time had 
two emissions : his next letter is the one abovo given. 
He was about twenty-eight years old, and had, previous 
to coming to me, been so affected generally, as to cause 
indigestion, costiveness, great debility, affected memory, 
and a hanging down of the testicles. 

Dr. T-jarmont : 

My emissions have been stopped by you in two or 
three weeks, after having been under the treatment of 
others for years. My health was never better. 
Thankfully and confidently yours, 

J S D 

New York, Jan. loth, 1851. 

This patient had. been married a little over a year be- 
fore coming to me, but was so impotent that he had up 
to this time been unable to cohabit with his wife, al- 
though his general health was not much nffected. He 
was 23 years old when married, and wjw mi «■*■«! to it 


by his physicians as being the only cure for him. Well, 
when he could not cohabit, they advised him to go 
south a year for his health, and he did so ; and when he 
returned was no better. He then came to me, and tha 
above certificate tells when he was able to perform his 
family duties. He would be happy to verify the above 
to any one tha.t will call upon him personally. 


Milwaukie, Wis., Aug. 8th, 1850. 
Dr. Larmont : 

Dear Sir,— Having arrived in Millwaukie I with 
pleasure fulfill my promise of writing to you. 

I am happy to inform you I have received great benefit 
from your medicine, and am in a much better state of 
health. I am, sir, most respectfully, 

Yours, &c, 

J. E D. 

This young man applied to me in July, about four 
months after the above letter, he wrote me again, say- 
ing he had had no emission, although he had lost a part 
of his medicine, and wanted me to send more, if I 
thought it necessary. I did not send anything, but 
wrote him to let me know if all was not right. I have 
not since heard from him. He had been treated in 
Europe before coming to me. His age was twenty. 


O , New York, June 18th, 1851. 

M. Larmont : 

Dear Sir,— I feel it my duty to inform you of my 
health since I saw you. I have had but one emission, 
and that was a few weeks after I got home. 
I am, most respectfully, 

Yours, ' Y . 

This young man was about the same age as the next 
precoding one, and was much troubled with priapism, 
weakness of the stomach, deranged bowels, and thdst 


tell-tale pimples on the face. I had a letter from hin 
last fall that he was entirely well. 


L , Indiana, Oct. 6, 1850. 

Dr. Larmont : 

Sir, — I received yours in due time, and commenced 
using your pills as you prescribed, just four weeks since, 
and they have had the desired effect, as far as night 
emissions are concerned ; but there is yet a looseness of 
the bowels. Just befere getting them I had a spell of 
sickness — bilious diarehoea ; but I am now in perfect 
health, and getting stronger. 

I remain yours, sincerely, C . 

This patient had been afflicted with a chronic diar- 
rhoea more or less for a year ; he was emaciated, and 
without a doubt, a rapid consumption would have soon 
carried him out of this world if he had not seen my 
advertisement, and applied to me at the time he did. 
I had a letter from him a few months after the above, 
saying, he was married, and in good health. His age 
was thirty- three . 


Dr. Larmont cured me of a long-standing seminal 
weakness, and emissions, complicated with stricture, 
and that too in a fortnight, so that I had but one emis- 
sion after commencing his treatment. I had previously 
been under treatment to no benefit. 

C. J. C , Brooklyn. 

July 1st, 1851. 

This patient was nineteen years old, and of a scrofu- 
lous constitution. 


Dr. Larmont: 

You cured me of gonorrhoea of some time dura- 
tion, by a single local application, which was compli- 


cated with a bad stricture. By my early improper 
habits I was afflicted with emissions and great debility, 
which were both also cured by you in a short time. 1 
had been for a long time under previous treatment to no 

benefit. F R . 

New York, June 23d, 1851. 

This young man was twenty-three years old, and 
belonged to Nova Scotia, but came on here for medical 
advice, and has procured a situation in one of the 
largest establishments in this city, where he can bo 
seen by the afflicted at any time. 


For over nine years, I was troubled with seminal 
emissions, which caused a general derangement of my 
system, such as nervousness, affected memory, costive- 
ness, depression of spirits, &e. Within the above time 
I used all the advertised remedies for these complaints, 
and was under the care of two other doctors, all to no 
benefit, till I came to Dr. Larmont, who has cured me 
entirely, having had only one emission since coming 
under his charge. My health is now as good as it ever 
was, yet it is only two months since I was cured. 

A D . 

New York, Sept. 23d, 1851. 

The above patient was troubled with a constant dis- 
charge of semen and mucus, arising from an inflamma- 
tion along the whole canal of the penis, and particularly 
in the region of the seminal orifices and neck of the 
bladder. This complaint often involves these parts and 
the prostate gland, not only seriously, but so much so 
as to endanger life ; therefore, not only is the correct 
treatment necessary, but it must in many cases be 
prompt and decisive. All those interested will here- 
after be able to understand the danger of cordials, 
elixirs, mechanical instruments, and all quack reme- 



New York, March 3d, 1851. 
Dr. Larmoni : 

You have cured me in a few weeks of great debility 
and nocturnal emissions that- 1 was troubled with for 
years. 1 have had but one emission since being under 
your care. I was under treatment a loDg time before 
calling on you, and that without benefit. 

W H . 

This man was a journeyman tobacconist, and chewed 
as many as six papers of tobacco within the twenty-four 
hours, and, in addition to that, smoked a number of 
cigars. I was obliged to gradually break him of this 
destructive habit, as his nervous system had been 
brought by this enormous use of tobacco, the weekly 
emissions at night, and the escape of semen while at 
Btool — produced by the slightest straining — to the most 
deplorable condition imaginable 


I hereby certify that Dr. Larmont, 42 Reade street, 
has cured me of three bad strictures, which, with tho 
gradual wasting away of the semen, and emissions at 
night, caused impotency apd very great weakness of 
my whole body, costiveness, nervousness, impaired 
memory and depressed spirits — all of which he has 
cured me of in a few weeks without my having had one 
emission, after commencing his treatment, which was 
without any medicine. P N . 

New York, Nov. 25th, 1851. 

The above case was an extremely dangerous one, yet, 
it will be seen, my treatment acted upon him almost 
like a miracle. I often astonish myself at the rapid 
cures, and especially when I am not obliged to use a 
particle of medicine in many of this kind of cases, not 
even to regulate the bowels, for they seem to correct 
themselves immediately. 


case lxix 

Dr. Larmont: 

You have cured me in a few weeks of an old seminal 
weakness disease that other physicians had treated, 
without benefit, for a long time. I was very weak, and 
had emissions very often, but since your treatment, 
have had only one. My health is better than it has 

before been for years. F G . 

New York, March 4th, 1851. 

This case was nearly a type of the preceding one, 
and, as I have never taken a certificate for a cure of 
any patient who had not been treated by from one to 
twenty other physicians, I shall copy many of them 
without comment, for my professional duties are so 
arduous that my time will not permit me to make the 
comment I otherwise would and should. My readers 
will understand by this that all of the certificates 1 
publish are for cures that had been abandoned by 
others, or considered incurable. 


Dr. Larmont cured me of stricture, seminal emissions, 
chancres (syphilis,) and vegetations (warts) in a short 
time, without scarcely any medicines. I had been 
under other treatment for some time, to no benefit. 1 
was weak, and my system entirely disordered. I havo 
had but one emission since being under his charge. ] 
have now been cured four months. John M . 

New York, October 21st, 1851. 


Chicago, December 19th, '51. 
Doctor : 

Dear Sir, — Received yours, but not able to write, 
being under treatment of sore eyes. I think that I am 
pretty much freed from the emissions. It has been four 
months or more since I had a discharge or felt like it. 
I feel much better than I did, and feel much relieved. 
My flesh don't twitch as much as it did. Once in a long 
time I still feel something wrong in the pit of my »to- 


raacb, otherwise I think my complaint is pretty much 
stopped. I am still careful about my foo"d. 

Yours, M P 

My readers will discover that the language of the 
above is quite erroneous, but I prefer to always give the 
exact language of the patients themselves. His age 
was thirty, and his case was a very severe one ; he had 
previously been treated, both in this and other coun- 
tries, for a number of years. 


Ohio, December 16th, 1S51. 
M. Larmont, M. D. : 

Dear Sir, — So long a time has elapsed since I have 
written to you, that I presume you had given up all 
idea of hearing from me again. I was married, on the 
day I wrote you was set for it ; yes, married. This will 
surprise you, when you reflect what I have said ; but it 
is, nevertheless, true. I no more expected to be able to 
perform what is expected of every married man than I 
expected to swim from New York to Liverpool. I did 
not, as I supposed I would, have an emission before an 
entrance was effected, and not, I think, until the proper 
time ; but, notwithstanding your advice to have con- 
nection but once a week, I have had connection some 
five or six times, in less than a week. I have no further 
doubt about my case. Very respectfully, 

H.'D S . 

The letter previous to this one, was written some fix 
months before. As will be seen by his letter, he was one 
of those who look on the dark side of everything, and 
could not be convinced that he was well till he had been 
married some time. He had great reason todonbtj how- 
ever, for he had been unmercifully plucked by tb« regfl 
lar physicians, as well as the innumerable charlatan* 
abounding in all cities, for a number of yearn btfcn 
coming to me. His semen having wasted ;iwny tot n 
long a time, left him entirely impotent, benra my 
treatment. He had all the other symptoms accompany- 
ing these extreme cases. 



C , New York, Dec. 1850. 

Dear Sir : 

I took your advice and did not put off the marriage- 
day as I thought I would have to when I saw you at 
your office, on my return from Philadelphia. After re- 
turning home, I applied myself to your directions, and 
was more surprised at the rapidity of my recovery than 
you was sanguine of your ability to cure me. I hope 
you will excuse me, for the fear I expressed that yon 
might be one of those numerous impostors, who assume 
the name of doctor, and swindla those unfortunate vic- 
tims who are ignorant of the pretenders and quacks in 
your city, Philadelphia, Boston and Albany, who swin- 
dled me out of a large sum of money, besides leaving 
me in a worse state than when I commenced their loath- 
some nostrums. Well, aa I said before, the wedding 
day came and passed, and instead of failing to cohabit 
as often as you said I might, I have overstepped the 
bounds very materially, but will pay a more strict ob- 
servance to your directions hereafter. It is now about 
four months, and I feel as strong and well as any man ; 
my flesh is returning, so that my weight is increased 
about thirty pounds. You of course received the bal- 
ance of your fee, or you would have written me before 
this time. Yours, thankfully, 

R — G. M — . 

This gentleman was about thirty-five years old, at the 
time he glaced himself under my charge, and was totally 
impotent — the semen wasting away by degrees, bowels 
disordered, troubled with flatulency, a gulping of wind 
from the stomach, indigestion, a buzzing noise in the 
head, dizziness, and a faint kind of weakness in the 
stomach. In about five months' time he had recovered 
his strength, which he possessed at the time of his 
writing to me. 

I could go on, and fill a volume like this little book, 
with extracts from the letters of patients that I have 
never seen even, acknowledging my curing them, the 
same as those herein copied. Enough of them, together 
with the certificates also copied, will satisfy any person 


however long he may have suffered, or the many phy- 
sicians and remedies they may have employed, that my 
treatment is not only certain, safe and mild, but proba- 
bly the only sure mode of cure, at present known. The 
subject requires me to be plain in my language, and 
some may, therefore, consider me egotistical, still the 
tiuth nevertheless requires it. 

As a concluding part of this work I shall copy a few 
of my certificates of the unparalleled cures performed by 
me of the other class of private diseases known as vene- 
real, so that those who are unfortunately afflicted with 
these dangerous, hereditary and flesh-destroying poison- 
ous diseases, can have more than the full proof of what 
I assert I am doing daily. 

I overlooked two certificates of very remarkable cases 
caused by masturbation, and which the gentlemen who 
received that benefit from me, which saved their lives, 
and the ruination of their families, wished me to 
publish with their full names, the better to convince 
the extremely skeptical. I have published them a great 
number of times in the newspapers, within the last two 


New York, December 5th, 1849. 
Dr. Larmont: 

Dear Sir, — I must say that I consider you a rare' 
dispenser of health, for, after spending over $300, 
(three hundred dollars), with the physicians of this city, 
Boston and Baltimore, for the cure of impoteney, emis- 
sions and general debility, all the time getting worse 
under their treatment, I fortunately saw your advertise- 
ment ; and this is to certify that, after being under your 
care about a month, I found myself entirely cured and 
once more a man. I send this in order to let those af- 
flicted know where they can get a speedy and permanent 
cure. yours, truly, 

James Salisbury, Mate. 

This man had been married about five years, but had 
no children. 



Bj«,oved Doctor : New York, Oct. 1st, 1849 

If I was the possessor of a thousand gifts, I would 
ask you to accept every one of them, besides the small 
fee which I paid you, as a slight recompense for your 
invaluable services in curing me of the most deplorable 
effects of self-abuse, commenced when I was young. 
The emissions at night, and leakage of the semen, cos- 
tiveness, indigestion, and, Us I said, all the effects of the 
masturbation, you have cured me of in a few weeks, 
after I had been under half-a-dozen physicians for some 
six years, besides using every quack medicine adver- 
tised, all of which cost me hundreds of dollars, my little 
all, besides what I could spare, after supporting my 
family. The friend you had cured, that sent me to 
you, I cannot thank enough. Yours, forever, 

James Evans 

case lxxv1. 
Dr. Larmont : 

I was under the care of three physicians for a 
year, and used everything I could hear of, such as 
the swindling remedies, so impudently advertised by 
the pretended doctors, for the cure of syphiltic ul- 
cers on my body and face, which were covered, and 
very painful. I took the disease by a razor cut, in the 
hands of a barber, affected with primary syphilis. My 
whole system was terribly affected, and the urinary or- 
gans and lower part of my body pained me constantly. 
Instead of my water being natural, it was like matter, 
and followed by a milky discharge. After suffering so 
long, and still getting worse, I was sent to you, and 
thank God, that through him you saved me from a lin- 
gering, disgusting disease, and an awful death. I am 
happy to say, you have cured me in a few weeks, so that 
I now look and feel younger by ten years than 1 did 
when affected. 

William Ferguson, Perth Amboy, N. J. 
New York, Feb., 27th, 1851. 

This case speaks volumes in favor of my Paris and 
London treatment of venereal diseases, as there are no 

PLATE 26. 

Mg 81 


remedies employed by any one else in this country or 
Europe, that are so rapid in arresting and destroying 
these poisonous diseases. My remedies do not interfere 
with the business of any one. And as a proof that I do 
not use mercury, this man was in the water nearly 
every day, as he is an oysterman. I often have patients 
that cannot get off of their beds, from pains and weak- 
ness, up and attending to their business in less than a 
week, for instead of reducing them, I tell them to eat 
as much as their appetite craves. This man has now 
been well about two years, and his health is as good as 
it eve* was. 

case lxxvii. 

Dr. Larmont : 

Dear Sir, — About one year and a half ago, I con- 
tracted a chancre, (pox), for the cure of which I applied 
to a number of physicians without receiving any benefit. 
After being under their care for this length of time I 
applied to you, when I was coveredwith ulcers. After 
being under your charge for four weeks, I was entirely 
restored to health, and have never been better in my 
life than since then. John Rollison, Jr. 

New York, May 11th, 1850 

This certificate was given to me by him, about nine 
months after' the cure, on his coming to me for the cure 
of a primary affection, he had caught a couple of weeks 
previous, and which he had had about a week. In a few 
days he was entirely well of tbis new infection. His 
weight at the time he gave me this certificate, was forty 
pounds more, than when I cured him nine months before. 

case lxxviii. 

Dr. Larmont : 

You cured me of a gonorrhoea of some time stand- 
ing, complicated- with an acute swelled testicle, in a few 
hours. I have continued my work, and yet the testicle 
has nearly resumed its natural size in thfs short time. 
P. Broadhead. 
New York, August 20th, 1850. 


The above will satisfy any one that my vegetable ap- 
plication not only brought away his clap in a few hours, 
but cured him of the most painful affection, swelled 
testicle, that ever accompanies this disease. 

Now, just compare this simple, but only rapidly effi- 
cacious treatment, as yet known, with that which is 
followed — almost universally followed — by the Profes- 
sion. The first thing they would do for you, would be 
to restrict your diet to mere nothing, make you gulp 
down salts and senna, or some other powerful laxative ; 
the next, they would apply from five to twenty-five 
leeches to the affected part, and if there was a general 
fever, apply the lance, and rid you of so much blood, 
that it would take you a long time to recover your 
strength. Well, after the inflammatory symptoms had 
subsided, then you would be ready for that, to them, 
heroic remedy, the stomach-revolter, copaiva, mixed up 
with cubebs, turpentine, nitre, &c, &c. In the course 
of three or four weeks the inflammatory symptoms 
would probably be gone, and the chronic state assumed ; 
then would have to come the injections, such as the nitrate 
of silver, sugar of lead, zinc, tannin, alum, &c. In the 
courso of another few weeks the discharge probably 
would be so much reduced as to leave merely a little in 
the morning, such as a drop, or the lips of the canal 
glued together at that time, and may be, just before 
passing urine. Every physician who knows anything 
of these diseases, will now tell you, there has a stricture 
formed in the canal, which must be cured, or it will put 
an end to your existence in a most distressing manner 
Suppose a person don't care for all these pains, 
dangers, and loss of time, he would be placed in rather 
a peculiar situation if he was married, or the wedding- 
day appointed, surely. Those who have ever had this 
complaint, and been under their treatment, know this 
to be a correct statement of thousands of cases. 

case lxxix. 
Dr. Larmont : 

Dear Sir, — This is to certify, that" you cured me of 
a gonorrhoea in one day. I had previously had the dis- 
ease for some time. D. M. Corbvn. 
New York, June 8th, 1850. 



This is to certify, that Dr. Larmont cured me of a 

fonorrhoea, chancres, (syphilis), and a large inflamed 
ubo, without the bubo being opened. He drove it 
away entirely in a little while. The gonorrhoea he 
stopped in a few hours. 1 had the disease some time be- 
fore coming to him. Cassimer Deroud. 
New York, July 20th, 1850. 


This is to certify, that Dr. Larmont cured a gonorrhoea 
for me, by a local application, after I had been under 
the treatment of another doctor for some time, con- 
tinually getting worse. W. N. Craft. 

New York, March 13th, 1850. 


Dr. Larmont stopped a gonorrhoea for me at two 
different times, by one local application at each time. 

T F g 

New York, April 8th, 1852. 


Dr. Larmont cured me within twenty-four hours, of a 

gonorrhoea, without pain, by a single local application 
[e done the same about nine months since. 

L. L 

New York, Feb. 18th, 1852. 

Cases lxxxiv — v, vi, vn, vni, and ix. 

I first came to Dr. Larmont after I had been under a 
number of physicians for a weakness of the canal of the 
penis, caused by a gonorrhoea not being cured soon 
enough, as I had not been properly cured for' some 
three years. Dr. Larmont then cured me in a few 
days, and has in five other cases done the same within 
twenty-four hours, with one local application. 

J. T. W-^— . 

New York, July 26th, 1851. 


Dr. Labmont: 

You cured me of a gonorrhoea with a single appli- 
cation, and four doses of medicine, in twelve hours. 1 
had before had it for six months, all the time taking 

medicine. Wm. M . 

Now York, Sept. 6th, 1851. 

This is to certify, that Dr. Larmont, of 42 Reade st , 
cured me in two weeks of syphilis, after I had been 

under the charge of Drs. H , P , W , R , 

S , C , and K. , for more than a year, with- 
out getting any better, notwithstanding their giving 
me mercury, potassia, copavia, &c. J. M . 

New York, March 25th, 1852. 

Those afflicted with syphilis, can judge of the impo- 
sition and swindling practiced upon the innocent though 
ignorant persons, by pretenders, assuming the title of 
physicians, the better to palm off by long advertisements 
in the papers, their quack nostrums, for this patient, 
and many others who have given me these different cer- 
tificates, used the two prominent ones, besides being 
under a number of family and special practice-doctors. 
It will be seen, that all combined could only rid him of 
his money, and not the disease. 

CASE xcn. 

About two years ago, I called on Dr. , alias 

and , of D street, on the appearance of a go- 
norrhoea, who agreed to cure me in a few days, but in- 
stead of that, after using injections and medicines for a 
long time, be ended it by leaving me with a gleet and 
stricture, which he kept on treating me for, till I had 
been under him for about eight months, and paid him 

about $20. I left him and went to Dr. F st., 

And was under his charge for about three months, and 
paid him about $30. But, as I was getting worse, 1 

left him, and went to Dr. , A street, staid undor 

him about six months, and paid him about $50, an* 


while under him, I got so bad that I could not pass 

urine only in drops, as or , had not passed a 

bougie into the bladder at all, hut only down to the 
stricture, which was all they could do. One of them 
told me I would forever remain impotent. 

When I had an emission at night no semen could 
pass. I always paid strict attention to all of their di- 
rections, as I - had postponed my wedding-day threo 
separate times. I then called on Dr. Larmont, 42 
Reade st., who soon passed a bougie into the bladder 
without pain, and found three permanent indurated 
strictures. In two months from the time he commenced 
his treatment, I got married ; my procreative organs 
became natural, and my wife enciente. 

I hereby say, and am willing to take my oath, that 
I fully believe no other surgeon or physician could have 
cured me but Dr. Larmont, or, at any rate, without 
cutting the urethra open for at least five inches, the 
Btrictured portion of the penis ; as I had consulted four 
or five other doctors who gave me that opinion. 
J. H. A 

New York, Dec. 3d, 1851. 

This gentleman was presented, in due course of time, 
With one of the finest of boys, by his excellent lady, 
both of whom are in good health. 

case xcm. 

Dr. Larmont cured me without pain, of syphilis, of 
some time standing, after I had used mercury for ten 
days previous, and all the time getting worse, yet he 
cured me in two days. A. Warino. 

New York, Nov. 5th, 1851. 


Doctor Larmont cured me in a short time of gleet and 
strictures, without pain, which had existed for a number 
of months, notwithstanding my having paid hundreds 
of dollars, for the best medical services in the country, 
all to no purpos* ; for an affection or ulceration of inj 


kidneys, which is the most harassing of diseases, for it 
cannot be reached only by the action of medicines. 

New York, May 10th, 1852. 

About eight months ago, I came to Dr. Larmont, with 
a chancre and bubo, which I had been treated for to no 
benefit ; he cured the chancre in a few days, but the bubo 
he had to open. After he doctored me a few weeks for 
it, and as it was not entirely well, and I had not much 
to do, I went to the hospital, and staid there two months, 
but still they could not cure me. I then returned to 
Dr. Larmont, who cured me in a short time. 

H. Chabot. 

Now York, May 3d, 1852. 

A year ago, Dr. Larmont cured me in two days of 
chancres (syphilis) after I had been under other phy- 
sicians for three weeks, but all the time getting worse 
He has now done the same again within that short time, 

notwithstanding I called on Dr. , corner st. 

and Broadway ; and was under his care for about three 
weeks, and every day getting worse. 

George B- — 

New York, April 15th, 1852. 

The above is another proof that quack remedies are 

case xcvii. 

Dr. Larmont : 

I had been affected with an uloerated leg, for some 
three years or more, arising from an old syphilitic dis- 
ease, in connection with the abusive use of mercury, 
which laid me on my bed for a number of weeks, as it 
covered my entire leg from the knee down to the foot, 
bod V1 °k 8 to tbe Ieg beio S so affected, I had ulcers on my 
ay, head and face, for which I was constantly under 

PLATE 27. 

Mg 82 


treatment by other physicians, to no benefit, as no soon6» 
than one place was healed, another showed itself. In 
less than two weeks after commencing your treatment, I 
was able to go out, and attend to my business, and bare 
been getting better, till I was well in body and mind in 
a few weeks. J. G. T m 

New York, Dec. 9th, 1851. 


1 I contracted a gonorrhoea about six months ago, and 
applied to a number of physicians, besides using the 
quack remedies, but still the disease run into a gleet, 
which Dr. Larmont cured with ono local application, 
yet I, at the same time, had a stricture, which he also 
cured. Wi. K. 

New York, April 24th; 1852. 


For a long time I was under Dr. M for the euro 

of gonorrhoea, and kept getting worse. When I first 
went to him he said he would cure me in a few days, ag 
tho disease had only just developed itself. I was unable 
to work for some time, and when I came to Dr. Lar- 
mont the inflammation of the^bladder was so high as to 
cause me to pass water thirty times a day. Dr. Lar- 
mont cured me in a day, so that I went to work, and 
am now as well as ever. George D . 

New York, April Ilth, 1850. 

CA^E C. 

M. Larmont, surgeon, 42 Reado street, New York, 
cured me with one application, without pain, in a few 
hours, of an old gonorrhoea. I had been under the 
charge of two other physicians previous to applying to 
him, and used every one of the advertised remedies, yet 
all the time getting no better. A friend that Dr. L. 
had cured, sent me to him. George S 

New York, January 17th, 1851. 


Dr. Larmont cured me of an old syphilitic disea»e, 
without mercury, in a short time, after I had been 
under other physicians without benefit. 

J. Atjhcenbalt. 

New York, November 14th, 1851. 

About a year ago Dr. Larmont cured me of constitu- 
tional syphilis, complicated with scrofula, without my 
being obliged to relinquish my daily occupation. Be- 
fore applying to him I had been under the charge of 

Drs. L , M and B , for a long time, without 

any improvement. I applied to each in the order here 
named. It is now a number of years since I contracted 
the infection. \V. V. L -. 

New York, April 20th, 1852. 


Dr. Larmont cured me in a few days of syphilis, aftei 
1 had been under three other physicians for a long time. 
besides Dr. H , and still getting worse. J . Burns. 

New York, January 20th, 1852. 

For three years I had been afflicted with a gleet, 
three strictures so bad, that at one time I could not pass 
urine for twelve hours, and chancres, succeeded by con- 
stitutional syphilis. All the time I was under treat- 
ment in fhis and other cities, which cost me hundreds 
of dollars, and great loss of time, till I called on Dr. 
Larmont, who in a few days cured me of the chancres, 
and, in a few weeks of the syphilis, sore throat, and 
other soreness. My throat was well in a few days, and 
the pains left me after I had taken but three pills. The 
gonorrhoea he brought away in one day, by one appli- 
cation, and the strictures he cured entirely in a few 
days. James M . 

New York, May 1st, 1852. 


Dr. Larmont cured me of a gonorrhoea and stricture, 
of about six months' standing, in a short time. I had 
been under the charge of a number of doctors, without 
any benefit. John T 

New York, January 7th, 1852. 

case cvi. 

Dr. Larmont cured me of an old gonorrhoea and 

stricture in a short time, after Dr. M tried to no 

purpose for three months. R S . 

New York, October 31st, 1851. 


From a badly-treated gonorrhoea, the discharge con- 
tinued for a long time, finally terminating in a gleet 
and stricture, with a weakness of the canal. After 

being under Drs. R and D L, as well as a 

number of physicians in other cities, Dr. Larmont cured 
me in a short time by local treatment, without using 
but very little medicine to strengthen the canal. His 
treatment was without caustic or pain. B 

New York, July 14th, 1851. 

Charleston, S. C, is Mr. B's residence. 

CASE cvm. 

Dr. Larmont cured me of an old gonorrhoea in a few 
hours, by one application, without pain. I had been 
under treatment before going to him. It is now soino 
weeks sinee the cure. G S . 

New York, December 10th, 1851. 

Dr. Larmont cured me of an old gonorrhoea, with 
one application, without pain, in a few hours after I had 
doctored for some time, as I had it for over six months, 
before coming to him. R. W. W . 

New York, Nov. 18th, 1851. 



Tioga Co., Feb., 1852. 
Dr. Lakmoht : 

Sir, — The bubo is well. 

Respectfully, yours, 

H . 


N , Mass.. Feb., 1852 

M. Larmont : 

There is no discharge for some time, and think I 
am well. Yours, respectfully, 

F— . 


Canada West, Dec, 1852. 
Doctok, — The sores are all healed. 

Yours, C . 

Dr. Larmont cured me of an old gonorrhoea, with 
one local application, after I had taken medicines, &c, 
to no benefit. R. Ironsides. 

case cxiv. 

New York, April 6th, 1850. 
Dr. Larmont: 

I suffered the most any one could with syphilis, for 
over four months. I applied to a physician who said he 
would cure me in a week, as I had the sore only a day ; 
but, instead of being cured in that time of the simple 
chancre, he done me no good, and the disease progressed 
till I bad two bubos, one he allowed to break, which 
pained me awfully, and left five large hard blue 
places. After being laid up four months, I applied to 
you from the advice of friends, and in three days I wa? 
able to go to work ; and you cured me in a few days 
longer, so perfectly, that no trace of it can be seen. Ali 
who do not wish to be kept in bed by other physicians. 


as I was, should apply to you, aud they are certain 01 a 
speedy cure. Yours, most obediently, 

"F. L . • 


Dr. Larmont cured me of constitutional syphilis, ul- 
cers all over my body, and pains and debility, to such an 
extent as not only to deprive me of work for a month, 
but of sleep, only at short intervals of the night. 1 was 
all the time from the first appearance of it, first under 

Dr. , L street, to no benefit, then to two 

Thompsonian physicians, then to Dr's F & C , 

and, still getting worse, I then called on Dr. Larmont, 
in the situation stated in the first part of this certificate, 
with tho addition of gonorrhoea and stricture, which 
they all in successh n treated without benefit. In one 
week after Dr. Larmont took me in charge, I commenced 
work, and increased in strength and health rapidly, till 
I was entirely cured of the whole, in two mouths' time. 
J H D . 

New York, July U, 1851. 

Cj.SE cxvi. 

This is to certify, that after paying Dr. H — , of D — 
street, r*r curing me of gonorrhoea in its first stage, 
whieh he promised to do in three or four days, that he 
kept me taking the worst kind of medicines for two 
mouths, and still I was getting worse. He refused to 
return me my money, after he had tried everything, 
mercury included, as he himself told me. I then went 
to another place, and he still made me worse. I then, 
through the advice cf a friend, called on Dr. Larmont, 
with a bubo and tho worst kind of gonorrhoea, which 
pained me a good deal. Dr. L. cured me of the bubo in 
a few hours, and of the gonorrhoea in a few days, with- 
out pain or hindrance. C • . 

New York, August 16th, 1850. 

case cxvii. 
Dr. Larmont : 

You have cured mo as you said you would, of syphi- 
lis, caught about a year and a half ago, and for the cure 


of which I was under other physicians a long time, at a 
very heavy expense. This you have done without mer- 
cury, or even requiring me to lay by from work a singlo 

day. N. E. M . 

New- York, July 23d, 1850. 


This is to certify that Dr. Larmont cured me in a few 
hours, after I had the gonorrhoea, since the first of May 

last, and had been given up by Doctors J and H ; 

the last gave me drops for about seven weeks. 

Wm. B . 

New York, July 20tfe k 1850. 


This is to certify that you cured me of a gonorrhoea of 
the canal of the penis, and of the anus, in a few days, 
after I had been under the care of another physician, for 
over two months. Eugene C 

New York, Sept. 11th, 1850. 

Last December I contracted a gonorrhoea -, as*soon as 
I saw it, I commenced taking the different advertised 
remedies, which I have used up to this time, or within a 
day or two, till I came to Dr. Larmont, by the advice 
of a friend, and who cured me without pain, by using 
one application. The medicine I took previously had 
only changed the disease into the chronic or gleety state. 

Geokge M. S- . 

New York, April 19, 1851. ) 

Nine days after being cured. J 

Dr. Larmont cured me of a gonorrhoea that I had 
taken medicines for, for overtwo months, without benefit, 
by a single application. 

New York, April 26th, 1851 



Dx. Larmont : 

You cured mo of a gonorrhoea with ono application, 
after I had been under another physician over two weeks, 

to no benefit. N. McM . 

New York, Feb. 19th, 1851. 


Six months ago, I applied to Dr. M and an- 
other physician for the cure of a gonorrhoea. They gave 
me medicines and injections till it ended in gleet, which 
Dr. Larmont cured rne of, with a single vegetable appli- 
cation, so that I was as well a.» I ever was, in a few 
hours. John W . 

New York, Sept. 30th, 1850. 

case cxxiv 

Dr. Larmont: 

You cured me with one local application in a few 

hours, of a gonorrhoea. Jf. V. F . 

New York, Feb. 1st, 1851. 

cases cxxv and cxxvi. 

Dr. Larmont: 

You cured me in a few hours of gonorrhoea, by your 
local application, after I had been under another doctor 
for some time. You also cured a female in a da» or 
two, that had it. . Welean Smith. 

New York, Dec. 17th, 1850. 

cases cxxvii and cxxviii. 

Dr. Larmont : 

Dear Sir, — You cured me of a gonorrhoea of over a 
year's standing, after another physician could not — by 
your single local application. In two other cases you 

did the same by one application. D S . 

Jersey City, Dec. 27th, 1850. 



N. H., Conn., March 29th, 1851. 
Dear Sir : 

About five weeks since I called on you, and got 
some remedies, which cured the female in one week, .to 
the great joy and satisfaction of the person, who had 
taken medicine for three months to no purpose. 

W — G. 
To Dr. Larmont. 

case cxxx. 

Albany, June 17th, 1851. 
Dear Sir : 

The remedy you gave me cured my complaint. 
Yours, in haste, 

S. R . 

To Dr. Larmont. 

case cxxxi. 

Dr. Larmont : 

Dear Sv, — I am happy to say you cured me of 
gonorrhoea in a day or two, with one application with- 
out pain, after I had used the advertised reme'dies with- 
out avail. I should here say, I had a stricture for 
three years, which you also cured without caustic or 
pain, within two weeks. Through carelessness, in rub- 
bing my eyes, I inoculated them with the gonorrhoea, 
which 1 am thankful to you for curing in two days. 

J. C. . 

New York January 16th, 1850. 

case cxxxii. 

Dr. Larmont: 

Dear Sir, — After having been under treatment for 
about three weeks without being cured of a gonorrhoea, 
I called on you, and am happy to state, that you stopped 
the discharge in five or six hours. 

C. Laudt. 
New York, April 26th, 1850. 

PLATE 28. 
tic/. 86 



Last June I was affected with a venereal disease, and 
applied to a physician for its cure. After being un- 
der his care for about nine months, I became so much 
worse, that one testicle was three times the usual size, 
and very painful. I then applied to Dr. Larmont, 
42 Reade St., who entirely cured me in a very short 
time. N. F. E , Brooklyn. 

New York, May 16th, 1850. 


This is to certify, that I applied to Dr. H , D 

street, for the cure of a delicate disease in its first stage 
He said he could cure me in a few days. I was under 
him for a long time without being cured. I then went 

to Dr. J , D street, with the same result. From 

him I went to Dr. M , W street, with no better 

success. The time I was under the treatment of the 
above persons was from February to October of 1849. 

I then called on Dr. M , F street, Dr. R , 

G street, and Dr. B , Broadway, and they told 

me I could not be cured without an operation with the 
knife. I then called on Dr. Larmont, 42 Reade street, 
who told me he could cure me with medicines and local 
applications, without mercury, which he has done. 

J. H. Demarest. 

New York, Feb. 23d, 1850. 

My space and timo will not allow me to add but a 
few more names from the many certificates not men- 
tioned in the previous pages, instead of copying them 
in full, for I have already given so many of all the 
diseases of a private nature, that all must be convinced 
of the unapproachable and unparalleled cures ever 
performed in this or any other country. I shall only 
give this additional omrin detail. 

case exxxv. 

For nearly four years, I had been afflicted with a gon- 
eral derangement of the whole system, such as indigos- 


tion, costiveness, impaired memory, great suffering and 
depression of spirits, a threatening destruction of the 
virile power, or with impotency, swelling of the testicles, 
seminal emissions, and a very frequent suffering and ne- 
cessity of passing urine, both day and night, causing 
loss of sleep, and with a stricture of the urethra. Dur- 
ing the above time I was under the charge, and followed 
the advice of a number of physicians, wearing trusses, 
bandages, using cold baths, yet constantly getting 
worse, till a friend sent me to Dr. Larmont, 42 Keade 
street, who, I am happy to say, has cured me in less than 
a month, by local treatment only. By the third night 
after his treatment commenced, 1 slept without getting 
up to urinate. I have been as well since the cure as i 
ever was. I can recommend full reliance on his medical 
and professional assurances. The bandages were all 
immediately laid off, on coming to him. C. C. B. 
New York, June 10th, 1851. 


Mr. W. Fink and Mr. D. Harpen would be pleased 
to verify to any one, in person, the truth, that Dr. Lar- 
mont cured them by one vegetable application, in a few 
hours, of very bad gonorrhoea, which had been under 
treatment a long time previously. 

I must acknowledge it is gratifying to receive such an 
evidence of proof, as the short extract below — and the 
letters in the foregoing pages — from brother members 
of the profession. It is the highest proof that can be 

Rio Grande City, Texas, 22d July, 1852. 
I am informed that you have a preparation of great 
use, in the cure of venereal affections, particularly stric- 
ture and genital debility. Large quantities can be dis- 
posed of, on this frontier. Our balsamic preparations, 
do not fill the desired purpose, of a certain and speedy 
cure of gonorrhoea. I am a practicing physician, a 
graduate of the Jefferson Medical College, Philadelphia, 
and would be pleased to have the use of such remedies, 


if you are disposed to establish an agency in this coun- 
try. Your directions in relation to terms, use, &c, 
will be in all cases strictly followed out. 
Very respectfully, 

Thos. P. Lintou, M. D. 
Dr. M Larmont, New York. 



I do not think it is necessary for me to present any 
further remarks in reference to my own ability and su- 
perior manner of curing all of these poisonous affections 
— in an incredible (almost) short space of time — than 
the unmistakable proofs presented by the large number 
of certificates — covering every private infection or dis- 
ease of the genital organs — acknowledgments from 
physicians, and the editorial testimonials which will 
complete the work. These notices were published with- 
out my knowledge, as the notices themselves say, they 
are representations of some of the most eminent physi- 
cians who are acquainted with my practice. 

I wish to put every afflicted porson on their guard 
against designing impostors and the quack or advertised 
remedies which nearly fill a column of some of the city 
papers, not only lauding their pretended virtues, but 
with a baseness that is really surprising, assert that 
they are the only known cure in the world. Such a 
declaration alone should convince any one that they 
are worthless and dangerous compounds, which my 
numerous certificates so truthfully verify. In conclu- 
sion, if any one, after reading this work, still place3 
confidence in quack remedies, they can go to any drug 
store and get them made up for themselves at the 
trifling expense, probably, of twenty-five cents. 



Red Drops. — This is a dangerous preparation, con 
sisting of corrosive sublimate, dissolved in alcohol, and 
colored with compound spirits of lavender. 

Unfortunate's Friend. — Make a decoction of sarsa- 
parilla root, rasped guaicum, elder flowers and resins, 
of each a quarter of a pound ; inazerian root, burdock 
root, parsley root, and whortleberry leaves, of each two 
ounces ; liquorice root, half a pound. Put them all to- 
gether in one gallon of water, and boil in a covered 
vessel down to a quart, and strain ; while the decoction 
is warm add of balsam copaiva, sweet spirits of nitre, of 
each half a pound ; powdered gum Arabic, white sugar 
cubebs and carbonate of soda, of each a quarter of a 
pound. Dose — a wine-glass full occasionally. 

Every one will see by the above that all quack reme- 
dies are composed of either mercury, copaiva or cubebs, 
disguised by mixing them with other remedies. 1 have 
a hundred different prescriptions which I could give if 
time and space allowed, every one of which contains 
either the one or the other of these three articles, which 
some combine with injections and washes, composed of 
mercury, caustics, alum, lead, zinc, &c, under the head 
of lotions. As another instance of the deception prac- 
ticed in this and other cities in private practice, I will 
mention the fact of one man having three offices, under 
as many different names. 

With three or four exceptions, there are no regularly 
educated physicians in this practice, besides myself, in 
the city, notwithstanding the great number of names in 
the papers assuming to be such. 

Ricord of Paris, Acton of London, and every Euro- 

fiean surgeon and physician of standing who have pub- 
ished works on private diseases, say there are five va- 
rieties of primary syphilis, and two when they have 
become constitutional : and that each kind requires a 
different treatment. How persons, then, who hav» 


not had the necessary ixperience in the cure of these 
diseases, expect to bo able to rid their patients of such 
a dangerous affection, every sensible unfortunate had 
better find out before they put themselves under their 

Gonorrhoea, hlennnrrhagia or clap, is as distinct a dis- 
ease from syphilis, and requires as distinct treatment as 
small-pox and cholera. Syphilis affects the system, but 
the clap is local in its action, producing sueh local com- 
plications as swelling of the testicles, phimosis, para- 
phimosis, inflammation of the bladder, prostate gland, 
stricture, bubo and gleet. The eyes may sometimes be 
affected sympathetically. 

Each one of these stages or complaints require dif- 
ferent treatment. All the medicine in the world cannot 
cure a stricture, or gleet. The same medicines that 
might be benefkial in a case of clap has no effect on 
a gleet, or the nose or eyes when they have been inocu- 
lated with the discharge. The eyes have been destroyed 
in twenty- four hours by the rapid progress of the disease, 
when direct inoculation has taken place. Any person, 
then, who is acquainted with these diseases, and sells 
a quack remedy as a cure-all, do so to get your money 
— and without the remotest idea that you will be bene- 
fited by taking them. 

I have not given full descriptions of the various forms 
of venereal diseases ; nor have I referred to my treat- 
ment, or entered into the details of the various modes, 
of relief. As I have often said, each case requires that 
treatment which the symptoms and disease Indicate ; 
and medicines in the hands of the ignorant, irresolute, 
or timid patient, does more harm than good. In this 
way only can we hope to rescue the afflicted from 
making a degrading application to a more degraded 
quack, or the unfeeling and dangerous routine of tho 
regular but inexperienced graduate. 


don't fail to read this advice to the afflicted. 

The moment you discover that you have contracted 
a private disease, or if you have had any affection of the 
kind, at any time previous — even years before — and 
which you have supposed you were cured of, by your 
country or other physicians, apply to me for this reason. 
Few physicians have ever been taught anything about the 
treatment of venereal diseases. Even if they had, it 
was that of the old mercurial or copavia remedies, and 
which often causes more injury and suffering than the 
original disease. Further — this, as well as more en- 
larged works, too plainly show, that many are pro- 
nounced cured — by inexperienced physicians — who get 
married, the disease is reproduced by the time which 
may have elapsed, and the extra excitement such an 
event generally produces, and the unsuspecting victim 
finds that he is yet affected, also the child, if the wife 
happens to be pregnant. In some cases, the child may 
not show any signs of being affected for some years after 
it has been born. Sooner or later, however, it will 
show itself in the whole circle, if the original complaint 
was not entirely eradicated. Or if you have had an emis- 
sion involuntarily. Sit down and write me a full state- 
ment, by giving your age and sex — single or married ; 
when you had the suspicious connection, and when 
you cohabited with your wife last. Whether bilious or 
nervous temperament ; complexion, habits, and occu- 
pation. Then state the case, symptoms, duration of 
illness, and supposed cause, and whether your bowels 
are regular. Then refrain from everything that is 
stimulating ; keep the parts clean, and be careful not to 
inoculate the eyes, nose, anus, or any other part, with 
the poison. 

lean then send you the necessary remedies by mail 
or express — state which you prefer — in time to check, 
and permanently cure you at once, even if you are 
in the remotest part of the Union or British Pro- 

All my packages sent are sealed, so as to be proof 
against detection ; and as they are so rapid and con- 


venient in destroying the disease, you can oure yourself, 
even amongst the most fastidious friends, with perfect 

Letters for advice or treatment must contain fivs 
dollars, or they cannot be noticed, as I am so much 
occupied that I caanot even read letters that do not pay 
me for my time. Those who reside in small or inquisi- 
tive places, need only write the following on their 
letters: " Box 844, New York Post Office." I shall get 
them just as safe as I would if my own name was super- 
scribed on them. 

Patients who apply personally, should be careful and 
notice my office. 

N. B. — My office is divided off into separate rooms, 
so that patients are only seen by myself. 

If I had supposed it would have been necessary, or in- 
teresting to those who may find this unpretending work 
sufficiently instructive to read its entire contents, every 
letter and illustrative case included, I would have con- 
tinued the letters and cases to as many more. The 
reader or patient will please understand, however, that 
I do not preserve any letters., without the patients or 
my correspondents desire me to publish them as addi- 
tional proofs of my superior practice, for the purpose of 
convincing those who may have given up all hope of 
ever finding a physician who could cure them. I have 
letters almost daily from such unfortunates who have 
been under the care of different physicians for years 
and years, all this time, however, loosing strength and ■ 
health. If such persons could call in person, I could 
present to them living proofs, as well as the written 
ones, of the invariable sucoess of my treatment. I will 
therefore only say in conclusion , that I can offer you 
such treatment, as it appears cannot be obtained any« 
where else in America. 



But a very few physicians correctly understand the 
different complaints, the delicate constitution of females 
are subject to. The most frequent complaints to which 
they are liable, are the irregularity of the menses, and 
prolapsus uteri, or a falling of the womb, accompanied 
or produced by fluor albus, or whites. Either of these 
difficulties will cause consumption, if they are neglected, 
or allowed to progress, and the proper treatment for 
their cure not understood. 

Those who wish to be cured of fluor albus, (whites,) 
or prolapsus uteri, (falling of the womb,) can do so by 
giving me a full statement of their case. 

$5.00 consultation fee must be remitted when making 
the application, or the value of my time will prevent its 
being noticed. 


From a German Physician. 

New York, December 12, 1853. 
Dr. Larmont. 

Dear Sir, — I know all about the best treatment of 
the diseases upon which your work treats, as I resided 
in France several years, but still know nothing equal to 
the cures effected by you. 


DR. J. D. 

From a Physician in Florida. 
I treated myself a number of months for the cure of a 
Chronic Gonorrhoea without success, and hearing from 
patient of mine that Dr. Larmont had cured him and 
others of his acquaintances in a very short time, I re- 
solved— 'as I was to be married in three weeks — not to 


lo3e any more time, but to extend my visit as far north 
as New York, and put myself under his care at onee. 
Jt is with the greatest pleasure that I bear witness to 
his having cured me entirely, in forty-eight hours, and 
of course advise all who are similarly situated to em 
ploy him, to render them the same kind services. 

DR.^A. G. 

From an old Physician in Virginia, 
It is with heartfelt gratitude that I state an additional 
remarkable cure of Dr. Larmont, as he cured me in 
less than two months of Impotency, with all its compli- 
cated general derangements, which I had labored under 
for many years, notwithstanding all the treatment 
which my position, as an old physician, enabled me to 
obtain. It is about a year since the cure, and I there- 
fore know it to be permanent, though my age is very far 

DR. C C. 

I can only add short extracts from two or three other 
Certificates of Cures. 

I was treated by other doctors three months, for the 
cure of a Clap, but Dr. Larmont cured me in one day. 

40 Delancy street. 

I had been under the care of about thirty physicians 
within twelve years, to be cured of Impotency and its 
various complications, yet finally, I was obliged to go to 
Dr. Larmont, who cured me in about two months. 

J. S. R. 

I was totally Impotent for over 8 years, the semen was 
almost constantly oozing from the urethra ; I had been 
under the care of a number of Professors in the Medical 
Colleges, and eminent physicians in this and other 
cities, and was given up as having Consumption, (hav- 
ing a cough,) Heart disease, and almost every symptom 


of disease that the human system is affeoted with, but 
Dr. Larmont cured me entirely in about three months 
without cauterization. 

F. S. 

My brother and myself have used the humbug instru- 
ment, which a doctor advertises will cure seminal dis- 
eases, but I grew worse, and he became insane from the 
seminal loss. We used them nearly two years. 

G. A. Y., Connecticut. 

Dr. Larmont cured me of Diurnal and Nocturnal 
emissions in one week, after I had been given up as 

J. G. 

I was cured by Dr. Larmont, of Impotnu'-y and Diur- 
nal Emissions in one week, by local treatment only. 
J. E. P., Vermont. 

Constitutional Syphilis caused my body to be covered 
with deep Ulcers. I paid the most eminent professor, 
physician and surgeon in this country $ 100, and was 
under his charge one year to no benefit, as my body was 
the same when I went to Dr. Larmont, but he cured me 
in about three months. 

G. L., New Jersey. 

We advise every person — whether married or single — 
to procure a copy of the Medical Adviser and Marriage 
Guide, illustrated with colored anatomical plates, ani 
numerous cases. The author, Mr. Larmont, Physi 
cian and Surgeon, mails them free to any address oil 
the receipt of $1. 


Opinions oi» the Press editorially, and mawj 
eminent physicians, in favor of my superioh 


From the Railway Advocate and Register. 
We wish to call the attention of our readers to the ad- 
vertisement of M. Larmont, Surgeon, of 42 Keade 
street, New York. We have seen the manuseiipt of 
his forthcoming work, and are satisfied that a know- 
ledge of its contents will bo the means of rescuing 
thousands of individuals from an early grave. This is 
also the opinion of a number of eminent New York phy- 
sicians that we have met, who are acquainted with his 
new and superior mode of treating all diseases of a 
private nature, for it is time that quackery should be 
suppressed. Dr. L's reputation for quick cures is well- 
established, not only in the city, but in all the States, 
the West Indies, the British Possessions, etc. 

From the Essex (Elizabetlitown,) Standard. 
We are assured by a friend; in whose judgment we 
place great confidence, that the doctor's forthcoming 
work will be found worthy of the attention of all those 
for whose benefit it is designed. 

From the New Brunswick Times 
We have known Dr. Larmont for a number of years, 
and not only coincide with the above, but are well con- 
vinced that the assertions made in his advertisement (in 
another column,) may be relied on as strictly true. 
Those interested, will, therefore, be able to shun th» 
impostors who infest New York and other cities. 

From the National Police Gazette, New York. 
We take pleasure in referring to the advertisement of 
Dr. Larmont, in another column 

From the Rahway Advocate and Register. 
Dr. Larmont, of 42 Reade street, New York, hai 
fully satisfied us that stricture of the urethra is one of 


Mid most dangerous complaints that man is afflicted 
with. The reason is, every one is liable, for it is not 
caused by private disease only, in more than a tithe ol 
the cases ; another and greater reason is, its progress 
and fatal development is so insidious that the victim ia 
unconscious of danger, till he is at the brink of eternity. 

From the Rahway Advocate and Register. 
Diseases of a private nature, as almost every person ia 
aware, are entirely different from those of a genera, 
character ; that is, the private one is entirely local at 
first, but if allowed to remain uncured for more than a 
very few days indeed, is absorbed into the system, and 
of course becomes general. ±i will be seen by Dr. 
J^armont's new advertisement, that he publishes some 
remarkable certificates of immediato cures. 

From the Rahway Advocate and Register. 
We are satisfied that there are many innocent, or, in 
other words, diseases of the generative system, which 
all are liable to have however moral a life they mny 
lead, and we are further satisfied that a physician like 
Dr. Larmont, of 42 Reade street, New- York, who haa 
received his education from the highest sources, and who 
has for years devoted his entire attention to their cure 
is fully able to treat them successfully. 

From the Essex {Elizabethtown) Standard, N. J. 

We fully agree with the above editorial notice, and 
oan say further, that Dr. Larmcnfo advertisement, in 
another column, says no more than he does daily. 

From the New York Day Book. 
An eminent physician of this city, who has been ac- 
quainted with Dr. Larmont, of 42 Reade street, for a 
number of years, assures us that his treatment of those 
diseases, belonging to that specially arising from indis- 
cretion, &c, is unequaied. We, therefore, fully indorse 
the encomiums of the New Brunswick Times, Essex 
Elizabethtown Standard, and Rahway Advocate and 
Register, of N. J. 


We take pleasure in recording merit, aud especially 
■o when acknowledged oy those of the same profession, 
and for that reason copy the above in referenoe to the 
ability of Dr. Larmont, 42 Reade street. — Notice from 
the Sunday Dispatch. 

From the National Democrat. 

Being convinced, from the highest professional as well 
as other assurances, the encomiums of the New York 
Day Book, Essex Standard, New Brunswick Times, 
Rahway Advocate and Register, (of New Jersey,) and 
the Sunday Dispatch, are only an acknowledgment of 
superior merit, we fully acquiesce in them in regard to 
Dr. Larmont of 42 Reade street, New York. 

Editorial Extract from the New York Staatszeitung. 
Dr. Larmont's system of curing Venereal Diseases is 
the quickest, cheapest, and surest of any with which we 
aro acquainted. Dr. Larmont receives patients of either 
sex at his Office, 42 Reade street, corner Broadway. 
The latest cures that have been effected by the Doctor 
have established his reputation on so firm a basis, that 
his time is fully occupied by the most respectable 

From the New York Courier Des Etats Unis, July 28, 
We suppose to do some service to the public in call- 
ing their attention to the work advertised to-day in our 
columns under the title of " Medical Adviser and 
Marriage Guide." Its author, Dr. Larmont, is a sur- 
geon whose name is already known throughout Europe, 
and the work is written with as much conscience as 
science. The Doctor does not think he has done enough 
yet to humanity with his pen, for he can be consulted 
every day for all kinds of diseases. 

Editorial Notice of the Reform {German Daily.) 
Dr. Larmont's method of cureing all Venereal Dis- 
iases, — as we are assured by many persons who have 


had the advantage of his professional abilities — is th« 
quickest and surest of aH. We beg to call the attention 
of our readers to his advertisement in another column 
of our paper. 

From the Empire City. 

We warned our readers against the Quack impostors, 
alias Doctors, who post up their decoy obscenities on the 
lamp posts, fences, etc., in violation of the city ordinan- 
ces ; and the better to prevent the afflicted from falling 
into their snares, advise them to read Dr. Larmont's 
advertisement in another column, and purchase his 
valuable work, as we coincide fully with the Editorial's 
of all the papers, referred to in his work. 

The Medical Adviser. — This book, as published by 
Dr. Larmont, purports to give a synopsis of the causes, 
symptoms, and most certain cure of all those diseases 
brought on by the indiscretions of youth and to which 
they are especially subjected in a city like this. The 
price is only one dollar. — National Police Gazette. 

Doctor Larmont's Work, advertised in another 
column should be in the hands of every person old 
enough to read. We know there are hundreds of 
thousands who are bringing disease upon themselves 
without knowing it, as family or general practitioners 
have not the opportunity to investigate the cause of the 
speciality of which this work treats. — National Police 

* * We not only agree to all of the above, 

but take pleasure in saying that Surgeon Larmont has 
sold thousands of his valuable work within a few months, 
in the different sections of this great country. He mails 
his Medical Adviser and Marriage Guide, with colored 
anatomical plates, which every person should read, to 
any address free of postage, on the receipt of one dollar 
Send for it.— iV. Y. Pick. 

Testimonials from physicians of the most eminent 
ability can be seen, with his Diploma, at his office. N« 
one now, after all these evidences, need go astray. 




From the New York Atlas, of June 15, 1856. 
Paris and London Medical Adviser and Marriaqh 

Guide. 366 pages. Twentieth edition. 12mo., cloth. 

Profusely illustrated with nearly 100 beautiful electrotype 

engravings. By M. Larmont, Physician and Surgeon, 

New York. 

Medical literature has been greatly depressed by the fre- 
quent periodical avalanches of medical books and pamphlets, 
which have buried the truth in antediluvian darkness. The 
false teachings of these works have misguided the public, de- 
praved the taste and refinement of the young, and so dis- 
torted nature's laws, as to cause them to be despised and tram- 
pled upon. 

We therefore take the more pleasure, in a brief notice of 
the Medical Adviser and Marriage Guide, in commending it 
upon its real merits. It holds the mirror up to nature, in 
good earnest, anatomically and physiologically. 

To the young as well as to the married, it is replete with 
interest and information. 

The particular department treated of is that of the Genito- 
urinary organs and their diseases, which are ably treated by 
the doctor. 

To the married and those who contemplate forming thos« 
holy bonds, the work is of the most inestimable value. Price 
$1, and four letter stamps, to pre-pay postage. 

Surgery. — We call attention to the notice of a work, on 
our outside, by Dr. Larmont, an experienced surgeon of this 
city. In curing the diseases to which the doctor pays his 
particular attention, he has no superior in this country, if he 
has an equal 


The following unsolicited editorial is from the National Po- 
lice Gazette of January 16, 1857 : 

Medical Adviser and Marriage Guide : by M. Larmont, 
corner of Spring and Mercer streets, New York City. This 
work is an awful warning to those who run the risk of con- 
taminating themselves by breaking the laws of nature and 
society. It presents the whole anatomy of man in his rela- 
tions to his family and offspring, and, seriously considered, 
such a work if widely circulated might save the blood of a 
large portion of the race from corruption and deterioration. 
Price one dollar. 

And was copied by the New- Yorker Oriminal-Zeitung and Bel- 
ktrislisches Journal of February 4, 1858, as an editorial. And 
by the New York Slaats-Zeilung of February 11, 1858, editori- 


In consequence of recent complaints of patients who have 
lost money letters, and other letters not having been an- 
swered by us, I found, on inquiry, that there is an itinerant 
Doctor traveling about the country, and in this city, by the 
name of Larmont ; therefore I wish all letters to be directed 
to my associate (who has been with me for several years), 
Dr. E. Banister, box 844, P. O., New York City, as formerly. 
Physician and Surgeon. 

N. B. — Patients are respectfully informed that our offices 
have been removed from 82 Mercer Street, corner of Spring, 
to 647 Broadway, up stairs (La Farge House block), one 
block above the Metropolitan, and three blocks above the 
St. Nicholas Hotel, New York City. 




Title Page 1 

Card. Offices and Office Hours. Post-Office Box. Ad- 

dres? of Author. Special Notice. Copyright 2 

Plate displaying a Front View of the Contents of the 
Abdomen and Pelvis, and of the Organs of Genera- 
tion in the Male 3 and 4 

Full Explanation of the above Engraving 5 

Preface to the Thirtieth Edition 6 

Preface to former Editions 7, 8, 9, 10 and 11 

Description of Plates 12, 13, 14, 15, 16 and 17 

Coats of Arms of America, Great Britain, and France. 

Parti. Important Notice to Patients 18 

Plate displaying a full and accurate View of the Left 
Section of the Female Pelvis in Heaitn, and of the 

gans of Generation 19 and 20 

explanation of the above Engraving 2j. 

oduction. which all should read 22 





Importance of a Healthy Condition of the Sexual Or- 
gans of the Mule and Female. Beautiful Mechan- 
ism of Za 

Complicated Structure of ; Compared to a Watch ; Teii- 
ticles ; Semen or Seed; Urethra; Bladder; Penis.. 24 

The Kidneys. Anatomy of Kidneys. Location. 

Right one, larger in the Sensual 25 

Secretion of Salts by. Ureters ; Bladder ; Neck of 
the Bladder ; Difference between Male and Female ; 
Action of the Muscles of 26 

Plate of the Anatomy of the Bladder, Penis, &C..27 and 28 

Secretion of Urine, Crypts, Action of the Miud upon 
the Secretion of. Scrotum 29 

Muscles of Testicles; Nourishment of ; Destruction or 
Impairment of Serious ; Roman Laws, in reference to ; 
Action of the Papal Clergy in reference to ; Retention 
of in the Abdomen 30 

Spermatic Artery, Spermatic Cord, Tunica Vaginalis, 
Epididymis.. 31 

Quicksilver in. Spermatic Veins. Cases of Single and 
Triple Testicles 32 

Absence of at Birth, Size of. Hydrocele ; Rupture ; Tun- 
ica Albuginea ; Cremaster Muscles ; Vas-Defe-_ 

. xens 33 

Tubuli Seminiferi ; Number, Length and Size of. 
Location of Epididymis. Vasa-EfTereutia. Prostate 
Gland. Ejaculatory Canal Si 



Testicles in the Foetus ; Their non-descent rare ; non 
combination of Semen and Water. Natural Quantity 
of Seminal Fluid in Sexual Congress. Spermatozoa 
of Hybrid Animals : Incapacity to Generate 35 

Conception of the Mule, Goat, Ewe, Chamois ; Cross- 
ing of Fowls. General Rule regarding Hybrids. .. . 36 

Vesiculas Seminales, Coats of, Ejaculatory ducts ; Pros- 
tate Gland ; Caput Gallinaginis 37 

Seminal Vesicles in the Boar, Rat, Beaver, and Guinea 
Pig 38 

Excitement of the Passions ; Pain ; Ejaculation of Se- 
men by Man and Brutes. Fecundation ; Seminal 
Reservoirs. Copulation of Animals. Absence of 
Seminal Vesicles in the Lion, Panther, Cat, and Dog. 39 

Size of Prostate Gland ; Location and Description ; col- 
or of its Secretion ; Fluid of ; Prostate Gland ab- 
sent in Bull, Buck, Ram, Goat, and the ruminatia. . 40 

Plate of the Anatomy of the Bladder, Prostate Gland, 
Seminal Vesicles, &c 41 and 42 

In fishes. Prostate "Double in the Elephant, Camel, 
Horse ; Healthy Secretion Important. Appearance 
of Diseased Secretion. Vehicle for the Semen. Dis- 
ease of Prostate mistaken for Gonorrhoea by Phy- 
sicians, Surgeons and Professors, errors productive 
of great injury. Eunuchs and Geldings 43 

Secretion of Semen in Health. Semen, how Pre- 
vented from Coagulation. Cowper's Glands. An- 
atomy of the Urethra. Membranous 44 

Membranous, Pendulous and Bulbous Portions. Mus- 
cles to Expel the Semen. Mucus Supplying the 
Urethra 45 

Entire Length of Penis. Penis, its Arteries aud Nerves. 



Glans Penis, Seat of Pleasure 4(J 

Anatomical Plate of Penis and Bladder 47 and 48 

Process by which the Semen is Ejected in Coition. Pas- 
sion or Desire 49 

Corpora Cavernosa. Erectors of the Penis. Great 
Vein of the Penis. Absorbents of Penis. Puber- 
ty, the Changes and Effects it Produces in the Sys- 
tem. Growth of Beards ; Hair on the Pubes in 
both Sexes. Alteration of Voice, Muscles, Passions, 
and Feelings 50 

Increase of Size of Genital Organs. Desire for Coition, 
when Developed, Affected by Mode of Living, Effect 
of Climate on ; Age of ; Periodical Occurrence of De- 
sire for Copulation in Animals ; Increase of Sexual 
Organs of Birds during Love Seasons ; also other 
Animals 51 

Beneficent Designs of Instinct in Animals. Meat of 
Animals in Heat ; Period of Heat ; Spring, Winter ; 
Effects of in Sexual Desire of Beasts, Hot Climate, 
Effects on Sexual Desire 52 

*ian Endowed with God-like Reason. Constant Size 
of Human Testicles. Secretion of Semen in relation 
to Puberty. Eunuchs Castrated before Puberty. 
How Affected. Desire in Old Age, and Condition of 
Seminal Secretion. Small Sexual Organs; Effects 
of ; Instinctive Desire in Man. Sensations 5b 

Desires Excited by Sight and Touch. Local Sensa- 
tions ; Sexual Instinct, the Cause of Attachment of 
the Sexes ; Love, Reason, Imagination ; Moral Peel- 
ings. Female Generative Organs. External and Inter- 
nal, Mons Veneris, Labia Etlerna, Perineum, Clitoris, 
Nymphx, Vestibule 51 



Meatus Urinarius. Hymen in Virgins ; Carunculce Myrti- 
formcs in Matrons Internal Organs. Vagina, Uterus, 
Ovaries. Fallopian Tubes,, Copulative Organs, Vulva or 
Pudendum, Description of. 55 

Comparison of Clitoris with the Penis. Qrifice of Fe- 
male Urethra and Vagina. Location of Ilgiuen ; the 
Veslibulum . . . .' 5C 

Ten Anatomical Engravings. Descriptive of the 57 

Female Generative Organs 58 

Minute Anatomical Description of the Female sys- 
tem of Generation — Containing a Description of the 

Impregnated and Unimpregnated Ovum 59 

Most Remarkable Cases 60 

Ihe Vagina. Location of, Size of ; Composed of three 
layers; Glands of Duvernay in the Female resemble 
Cowpcr's Glands iu the Male CI 

The Uterus or Womb. Peculiarities of ; Fallopian Tubes ; 
relative position to the other organs 02 

Ligaments of, broad and round ; Cervix Uteri ; Os 
Tincac, Cavity of the Uterus 63 

Arbor Vitro ; Mucous Glands ; Dissimilar tissues of the 
Uterus. Peritoneal Coat, Mucous membraue ; Fibrous 
Coat ; Cruveilhier's opinion CI 

Microscopic Observations of Roederer and Schwelgue. 
Uterine Arteries and Veins C5 

Anatomy and Physiology of the Fallopian Tubes: 
Fimbriated portion of ; Orifice of; Coats of 66 

The Ovaries. Relative position of ; Size of 67 

Graafian Vesicle, or Ovisac. Position of Ovum, Cor- 
pus luteum 68 

Function of the Ovario — Uterine System. Fecunda- 
tion and Spermatozoa ; Passage of, into the Ova- 



riiui). Process of Impregnation. Amnion and Cho- 
rion Membranes, Liquor Amnii 69 

After-birth. Blood vessels of Foetus. Puberty com- 
mences from the 12th to the 16th year 70 

Effect of Climate on ; In Africa it occurs at the 8th 
year, Persia 9th year. Jeweses menstruate earlier 
than other females. Cessation of Menstruation. 
Changes in the System at Puberty in both Sexes. ... 71 

Menstruation; Symptoms of; Its periodicity ; Duration 
of; Aristotle on 72 

Sun, Moon, Stars, or other Planets have no Influence 
on. Sexual Intercourse. Sexual Excitability. Physical 
Changes in Men and Animals. Sensations of both 

Sexes in Coition Expenditure of Nervous power in 
the Female 73 

Comparative Effects of Coition in both Sexes. Semen, 
its Peculiarities and Vital Enlowment 74 

Conception, the Period of its Occurrence. Erroneous 
Views of Authors upon ; Conditions necessary ; 
Adaptability of the Organs of Generation for ; Result 
of the Union of the Sexes 75- 

Proofs by experiments ; Malformation of the Male Or- 
gans. Passage of the Ovum into the Womb. Nou- 
rishment of the Foetus 76 

Beautiful Engravings, showing the different periods 
of the Growth of the Foetus • 77 and 78 

Full Description of Plates, representing theperioch of Foetal- 
gestation 79 

Remarkable Cures 8C 

Development of the Fcelw. Time at which the Impregna 
ted Female Germ enters the Womb ; the Embryo; 
the Embryonic Membranes and Fluid ; Stages of the 



Development of the Foetus ; Formation of the first 
Bones ; Development of the Head, Eyes, Heart, 
Lungs, Liver, Testicles, &c 81 

Foetus ; Third Month, Fourth Month Sex Perceptible, 
Signs of Life, Birth , 82 

Sterility, Causes and Cure ; Importance of Offspring ; 
Laws of Nature ; Barrenness Readily Cured ; Causes 
of Unfruitful Marriages ; Lcucorrhoea, Fluor Albus, 
(Whites) Gleet, Scrofula 83 

Physical Adaptation of Young Married Persons. Dioorce. 
Bonaparte and Josephine. Excessive Ardor ; Conjugal 
Enjoyments ; Abortion ; Miscarriage 84 

Libertinism ; Self-Abuse or Masturbation ; Powerful 
Medicines ; Ignorauce of Physicians ; Quack Nostrums 85 

Articles supposed to possess fertilizing virtues. Most 
Auspicious Time for Conception. Falling of the 

Womb. How to tell the Sexes of Children prior to birth. 8G 

'Prevention of Offspring. Dangers of Child-birth. Grave 
Constitutional Diseases 87 

Ignorance and Delicacy. Exposition of Ignorance. 

Various Means used to produce Abortion or Miscar- 
riage. Injurious Effects from the Use of Medicines 
for, 88 

Medicines and Mechanical Appliances to Prevent Con- 
ception. Frequent Calls for. The only certain, 
harmless, Convenient and Secret Method for. Con- 
doms, Objections to 89 

Prevention of Conception contrasted with Abortion. 

Evils, Moral and Physical, of Abortion 

Suffering and Crime; How Prevented 

Refusal of the Author to cater to Wicked Requests. 
Sympathies of, 90 



Nature Cannot be Perverted with Impunity 

The Natural Indulgence of the Sexes an Imperative 
I»aw. Evils of Child-bearing. Family Discords, 
Jealousy, and Suspicion of Infidelity 91 

Causes of Illicit Intercourse, Rectitude of the Author's 
Motives. How to Avert an Early Grave. Preven- 
tive to Conception ; how obtained 92 

Post Office Address of the Author. Important Truths. 
Nurses, Children Sleeping with ; Child-bearing 93 

Fruitful Months ; Twins ; Hair ; Color of; Miscarriages ; 
Hymen; Epilipsy ; Violation; Hermaphrodites... 91 

Two Beautiful Engravings representing the Womb and 
the External 95 

Female. Genital Organs, with Description of Plate 96 

Bad Temper. Effects of Pregnancy ; Signs of; Ex- 
cesses 97 

Abstemiousness. Suckling* Partner; Choice in Mar- 
riage 97 

Sickly Persons, Marriage of, Diseased Offspring, Age of 
Father, Offspring how Effected by, Age of Mother,- 
Affecting Offspring, Marriages Among Blood Rela- 
tions, Degeneracy of Royal Families, Spanish Race, 
Scrofula, Effects of in the Bourbons, Families of Hol- 
land, Austria, England, Queen Victoria, How Afflict- 
ed 98 

Persian Practice ; Marriage; Rules for ; Perfect Fe- 
male; Description of; Indications of Malformation ; 
Woman ; Gait of, Significant 99 

Matrimonial Rules Continued. Age for ; Twins ; Part- 
urition , mo 

Beautiful Engraving of a Full Grown Foetus in, the 
Womb 101 and 102 



Foetus; Formation of. Nursing in Pregnancy ; Teeth- 
ing ; Resemblance of Offspring to Parents 103 

Pseudo-Physiologists ; Seminal Vitality ; Sexual Pas- 
sion; Effects of in Offspring ; Transmissibility of 
Parental Qualities ; Color ; Age ; Effects on Off- 
spring ; Quackery and Quacks ; Modus Operandi of 104 

Cities Infested with ; Pulses of the Purse ; Duties of a 
Physiciau ; Importance of Early Treatment of Dis- 
ease ; Quack Nostrums 105 

History of Dr. Quackey, Jr. ; Poetry on 106 and 107 

History of Venereal Disease ; Definition of Term 107 

Early History of ; Jewish Laws in reference to ; Levit- 
icus, chapters 13 and 15 ; Syphilis Confounded with 
Leprosy by the Ancients 108 

Biblical History Regarding Gonorrhoea ; Mosaic Cere- 
monies ; Solomon iu Reference to Sexual Abases. . . . 109 

St. Paul's Views upon Matrimony ; Ubertius ; Death 
of; Bolonese Physician ; Views of ; Roman do.; 
Bell's Discovery ; Ricord's Views 110 

Non-Virulent Affections ; Virulent do. ; Parisian Fe- 
males ; Peculiarities of. Virgins Ill 

Acrid Mucous Discharges ; Common Character of Mu- 
cous Membranes ; Non-Virulent Discharge in the 
Male ; Discharges Peculiar to Females ; Leucorrhoea 
Common 112 

1 ctition of a Congressman ; False Alarm ; Cleanliness. 113 

Hygienic Treatment ; Case of Leucorrhoea ; Pregnan- 
cy ; Barrenness ; Absence of Menstruation 114 

Cessation of the Function of; Acute aad Chronic 
Suppression of ; Females of Full Habits ; Treatment 
of 115 



Peculiarities of Temperament of Women ; Menstrua- 
tion Reestablished by Treatment ; Remedies 11(5 

Electricity a Powerful Agent; Dr. Ashwell in refer- 
ence to ; Remedial Agents for ; Different Medicines 
used for 117 

Suspension of the Uterine Functions Fatal ; Gonorrhoea, 
Blennorrhagia, or Clap, in the .Male ; Derivation of 
name ; Some Persons more liable to Contract it than 
others ; Symptom of Ciap US 

Engravings Representing Clap and Chordee ; Engrav- 
ing Representing Gonorrhceal Discharge Magnified ; 
Engraving of Gonorrhceal Opthalmia 119 and 120 

Chordee ; Deformity of Penis ; Chronic Gonorrhoea ; 
Gleet ; Symptoms of. 121 

Nocturnal Pollutions from ; Danger of other Diseases 
from ; Coition ; when Safe 122 

Indiscriminate Coition ; Danger of Inoculation from 
Gleet ; Chordee, How Avoided 123 

Treatment of; Retention of Urine; Inflammation of 
the Neck of the Bladder ; Buboes from Sympathetic 124 

Swelled Testicle ; Symptoms of ; Not Dangerous 125 

Diet and Remedies ; Gleet. . .; 126 

Gonorrhceal Rheumatism and Sore Eyes ; Gonorrhoea 
in the Female 127 

Effect of upon other Functions ; Treatment 128 

Beautiful Electrotype Engraving, illustrating Primary 
Syphilis and Gonorrhoea in the Female 129 and 130 

Excoriations of the Genitals in both Sexes ; Warning 
Against Excessive Coition ; Strictures ; Sir Astley 
Cooper on ; Spasmodic Stricture ; Sir Benjamin Bro- 
die on * 131 

Treatment of. Inflammatory Strictures ; Treatment of 132 


.Excessive Desire to Urinate in ; Primary Strictures. . . 133 
Mechanical Obstruction of Urine in ; Symptoms of Stric- 
ture 134 

Engraving of Urethral Strictures 135 and 136 

Bugbear ; Depletion of Purse ; M. Ricord 137 

Genius of the -Age ; Yankee Part of Christendom ; 

Diseases of the Prostate Gland ; Symptoms 138 

Engraving of the Bladder and Enlargement of the 

Prostate Gland ; with Stricture 139 and 140 

Chronic Inflammation of Neck of Bladder ; Iuduction 

of other Diseases by ; Spirituous Liquors 141 

Calls of Nature ; Observance of; Irritation of the Testes 142 
Engraving of Swelled Testicle ; with Explanation ; 
Engraving of Severe Case of Hydrocele ; Engraving 
Representing Vegetations or Wares on Penis. 143 and 144 
Variocele ; Hydrocele ; Diseases of Kidneys and Ure- 
ters ; Inflltratiou of Urine ; Hemorrhoids ; Irritation 
of Vagina and Womb ; Vegetations or Warts ; Phy- 

mosis and Para-Phymosis 145 

Enlargement of Epididymis and Spermatic Cord ; Sy- 
philis ; Symptoms of 146 

Engravings Representing Phymosis, Para-Phymosis ; 
Clap ; Chancres (Pox) ; Phymosis from Pox ; Deep- 

Seated Ulcers on the Scrotum 147 and 148 

General Remarks on Syphilis ; Primary Symptoms. . . . 149 
Chancre ; Description of ; Virus ; Rabid Auimals : 

Small Pox; Diseases of Bones ; Palate ; Nose ; Eyes 150 
Eight Beautiful Engravings, Showing the Different 
Stages of Development of Chancres (Pox). .151 and 152 

Horrid Ravages of Syphilis ; Children Born with 153 

Gonorrhoeal Optlialmia ; Frequency of Venereal Dis- 
eases ; Transmission of Veuerial Virus 154 



Three Beautiful Engravings, Representing Syphilitic 
Discharge Magnified ; Chancres in the Urethra 
and Bladder ; and Syphilitic Ulcers on Tongue and 
Throat 155 and 156 

How to Prevent Syphilis and Clap ; How Contracted ; 

Secondary, or Constitutional Syphilis ; When it Be- 
comes so 157 

False and Real Disease ; When Secondary Syphilis ; 
When Manifest ; Skin Disease from 158 

Syphilitic Affections of the Mucous Surfaces ; Tertiary 
Syphilis 159 

Ulceration of Bones ; Rheumatic Pains in ; Sore 
Throat ; Syphilitic Affections of the Eye ; Rapid 
Destruction from ; Symptoms of 160 

Three Engravings, Representing the Destruction of the 
Eye by Syphilis ; Constitutional Syphilitic Affection 
of the Eye, and Syphilitic hydro-sarcocele of Testi- 
cle 161 and 162 

Syphilitic Disease of Testicle ; Time of Occurrence ; 
Perfect Curability of ; Tertiary Syphilis ; Nodes ; 
Periostitis ; Exostosis ; Caries ; Tubercles 163 

Syphilis in the Bones ; Three Varieties ; Illustration of 
Cases 164 

Four well-executed Engravings, Representing Nodes on 
the Frontal Bone, Caries in the Teeth ; Ulcers on ; 
and Destruction of the Nose by Syphilis. . .165 and 166 

Special Notice of Injuries Received by Patients from 
Inexperienced Physicians, Quacks, and their Reme- 
dies 167 

Part 2d. Caution to Patients 168 

Preface ; Character of the Work 169 



Preface continued : Evil Results from Onanism no 

Introduction ; Harmony of the Physical Organism 171 

Appeal to the Public ; Bawdy Books 172 

Self-abuse by Grills ; Causes of 173 

A Few Words to Invalids 174 

Two Engravings, Representing Opthalmia (Diseases of 
Eyes), from involuntary loss of Semen — caused by 
Self-abuse— and the Meagre Appearance of the Fea- 
tures 175 and 176 

Onanism ; Self-abuse ; Masturbation 177 

Ignorance of Physicians on ; Individual Cases 178 

Early History of the Disease ; Biblical Notice of; False 

Modesty 179 

Ancient Writers on ; Hyppocrates on ; Areteus on.. . . 180 
Symptoms of; Galen ; Pliny ; Cornelius Callus; Titus 
Ertherius, Death of in Copulation ; Actius ; Saue- 

torius ; Somnius ; Celsus ; Tulpius 181 

Blancard on Seminal Diseases ; Mays on ; Blindness 

from ; Salmuth on ; Hoffman on 182 

Effects from Excessive Indulgence ; Bcerhaave on 183 

De Senac on ; Ludwig on ; De Cottier on ; Van Swie- 

ten on •. ISt 

Klokof on Mental Affection in ; Neither the Treat- 
ment nor the Disease mentioned in Medical Colleges. 185 
Suicides, Affected with ; Sexual Organs ; Influence of 

Mind on ; Gaming Table 18G 

Sexual Desires Late in Life ; Sexual Distinct 187 

Sexual Desires Absent in the Studious ; Sir Isaac New- 
ton ; Intelligent Physicians 188 

Injuries of the Brain, causing Impotency ; Baron Lar- 

rey on ; Lallemand on ; London Lancet 189 

Unnatural and Excessive Loss o - ' Semen 1!)0 


Vigor of Manhood ; Loss of ; The Onanist 191 

Mind and General System Affected by ; The Exemplary 

and Virtuous Victims of . . . 192 

Spermatorrhoea Causing Disease of the Bladder, Kid- 
neys, Urethra and Rectum ; Eunuchs ; Imperfection 

of Mind and Body of 193 

Cause of Spermatorrhoea l!)i 

Occurrence After Fever ; Debility of Seminal ducts. . . 19.3 
Medicines Causing the Disease ; Oantharides. Phosphor- 
us ; Iron ; Opium ; Cases from my own Note Book ; 

with Certificates of my having Cured them . .\ 106 

Two Striking Engravings, Representing Varicocele of 
the Testicle from Self-pollution ; and Total Relaxa- 
tion of both from 197 and 198 

Headache from ; Affection of the Eyes from ; Moral 

Teachings Inefficacious 199 

Misanthropes ; Hermits, Case No. 1 ; Mr. S. ; Cure.. . . 200 

Case No. 2, Mr. M. ; Cure 201 

Case 3, Mr. P., New York ; Cure 202 

Case 4, Remarks, Lallemand 203 

Dr. Butini ; Dr. Bailey 204 

Medicines and Treatment 205 

Spermatorrhoea and Diseases of Prostate Gland 206 

Injections, Copaiba, Cubebz, Nitre, etc. Cause Emis- 
sions 20i 

Case 5, M. De B.— , Lallemand 208 

Diurnal Pollutions, Symptoms 209 

Severe Constipations <•. 210 

Baths, Canterization 211 

Constipation from Horse Exercise 212 , 

Impotence of the Scythians. . , 213 

Injury from Mechanical Appliances and Instruments.. . 214 



dm*- 6, M. R., a Medical Sluduut, Lalleniaud 215 

•ITrer«ral Irritation 21G 

WoirflS Cause of Seminal Losses ; Injury from False 

Delicacy 217 

Applications from Fathers and Mothers— Sperma- 
torrhoea hereditary ; Case 7, Lallemand 218 

Cases 8, 9, 10, and 11 219 

Cases 12, 13, and 14 220 

Case 15, R. H. ; Dr. McDougaU 221 

Periodical Returns of Seminal Disease ; Insanity 222 

Death of a Hermit 223 

Case 16 ; Dr. McDougaU ; Have great many like it 224 

Bleunorrhagia, Orchitis, Phimosis, Inflammation of 

Bladder 225 

Several other symptoms by which Spermatorrhoea may 

be detected 226 

Warning by first involuntary emission ; Greatest Causes 

oflmpotency; Ignorance of patients 227 

Impotency ; Sterility ; Infecundity 228 

Fifteen Engravings, representing microscopical views 
of Semen, and the Testicle injected with mer- 
cury 229 and 230 

Healthy semen; How long retained iu the body. Healthy 

animalcules ; Confidence in Parents 231 

Stricture, obstacle to seminal discharge ; continuance 

of the disease 232 

Inability to copulate ; Female tantalized ; microscop- 
ical researches 233 

Testicle ; Change of structure ; Case 17 ; Fruitless 

marriages 234 

Microscopic examinations ; How made 235 

Transparency of Spermatozoa 23C 



Appearance of Animalcules 237 

Spermatozoa in the Urethra; Immense numbers of. 238 

Absence of Animalcules in the Testicles 239 

Absence of in Consumptives 240 

Spermatozoa in the uriue 241 

Difference between Pus and Semen 242 

Characteristic smell 243 

Loss of semen at stool 244 

The quantity of semen lost ; physical and mental eft'ects 245 

Report on to Massachusetts Legislature 24(5 

Compared to the vice of Intemperance ; idiocy 247 

Prevalence of the vice 248 

Personal appearance of those addict 'd to the vice ; 

Treatise on the subject ; value of to th: Public 249 

Birth of Feeble-minded Children ; Servants teach Chil- 
dren the practice < 250 

Atrocious Guilt ; Sleeping Companions of Children. . . 251 

Modesty of Person ; Copland on Insanity 252 

Melancholy 253 

Lunatic Asylum 254 

Evil Prevented by Publicity 255 

Comparative Frequency of Insanity from, in the 

Professions and Trades ; Sedentary Life 256 

Engraving, with Explanations of Stomach ; Intestines, 

etc 257 and 258 

Appearance of Masturbators 259 

Case 18, M. D 260 

Appearance of Urine 261 

Errors of the Medical Profession 262 

Frequency of Micturation ; Dr. Daniel ; Case 19 ; 

McF 263 

Misconception of the Disease 264 



Mental Hallucination ; Case 20 ; M. Emile G., Dr. 

Cauirere 265 

Indifference to External Impressions 266 

Disordered Digestion ■ 266 

Cauterization .267 

Marriage ; when advisable ; Dr. Esquirol 268 

Hypochondriasis 269 

Removal of Cause 270 

Physician's Advice on Matrimony in reference to the 

Bride ; Causes of Abuse, predisposing 271 

Internal Causes of ; Rutting Season in Animals 272 

The Ape ; Resemblance to Man ; Irritation of Brain . . . 272 
External or Exciting Causes of ; Case 21 ; Dr. Deslandes 273 

Rousseau ; Case 22 ; Son of a Physician 274 

Shirt of Mail 275 

Case 23 ; Parent Duchatelet 276 

Educational Establishment 277 

Gymnastics 278 

Varieties of Abuse 279 

Cases 24, 25, and 26 280 

Dreams 281 

Effects o^ Absence of Sleep 282 

Cases 27 and 28 283 

Cases 29, 30, and 31 284 

Cases 32 and 33 ; Treatment ; Habitual Priapism 285 

Case 3 1 ; English Officer ' 286 

Effects of Abuses ; Case 35 ; Female 287 

Straight Waistcoat 288 

Abuses During Childhood ; Case 36 ; Deslandes. Dr. 

Nurambeau .- 289 

Nervous Disorders 290 

Rapid Return to Health 291 



Resolutions of the Afflicted 292 

Suitable Treatment 293 

Effects of Temperament ; Idiosyncrasy 294 

Urethral discharges ; Case 37 295 

Case 38 ; Prostatitis ; Cystitis ; Emissions of Blood ; 

Orchitis .• 29G 

Morbid Phenomena 297 

Embarrassment of Females 298 

Erotomania and Satyriasis ; Dr. Curling 299 

Old Men Subjects of; Nymphomania 300 

Plate representing Wasted Testicle, from Excess and 
Abuse, and Undescended Testicle, causing Impo- 

tency 301 and 302 

Unmistakable Signs of Erotomania 303 

Fatality ; The Influence which different Articles have ; 
Medicines and others, in producing and curing Sper- 
matorrhoea and Impotence 304 

Purgatives ; Injurious Effects of 305 

Naicostics ; Coffee ; Tea ; Tobacco ; Alcohol 306 

Nervous Influences of; Brs. Rush, Boerhave, Cullen, 

Darwin ; Tissott on Tobacco ; Case 39 ; Dr Pilchor.. 307 
Case 40 ; Dr. Chapman ; Cases 41 .and 42 ; Dyspepsia. 308 
Dr. Franklin, and Hon. John Quincy Adams on use 

of Tobacco ; Cases 43, 44, and 45 309 

Hospital Experience ; Cases 4(i, 47, arid 48 310 

Opium; Injuries from ; Case'49 311 

Artificial Habits ; Power of Habit 312 

Dr. McDonald ; Cautharides ; Effects of 313 

Camphor ; Case 50 ; Nitrate of Potash 314 

Case 51 ; Ergot of Ry£ 315 

Phosphorus ; Iron ; Mechanical Means Adopted for 
the Prevention of Seminal Emissions 310 



Jase 52 ; Strangury of the Urethra 317 

Case 53 — Bladder complications 318 

Anti-Venereals 319 

Nymphomania productive of Monomania and Crime ; 
Masturbation practiced by Females ; Remarks show- 
ing its dreadful effects upon the constitution 320 

Case 54, very interesting 320 

Letter from an M.D ■ 321 

Onanism among Females 322 

Health and beauty — how preserved 323 

Pulmonary Consumption 324 

Baron Buyer ; Prof. Richard 325 

Cramp in Stomach ; Pains in Baqk 326 

Human natnre always the same 327 

Sydenham. Life, What is it ? It is mere existence with- 
out health 328 

Achilles. Biehat 329 

Masturbation produces effects upon the Female ; easily 

discerned by the generality of people 330 

Offspring of Venereal Parents 331 

Childhood and Youth. A Lady's beauty. 332 

Four engravings representing Venereal taint in the Off- 
spring ; Venereal Eruption ; Deep-seated ulcers in 
the neck and throat ; Caries of the Cheek bone, 333 and 334 
Maiden purity ; Chastity, the daughter of modesty. 

Socrates 335 

Causes of Female Prostitution 336 

Wells. Woodbridge. Gove. Fowler 337 

Masturbation practiced by nine boys in ten 338 

Heart-sickening cases in my own practice. Case 54... 339 

Case 55 ; Attempted Suicide 340 

Mere Skeleton. Case 56 341 



Recommendatory Letters 342 

Interesting Letter ol'c 

Certificates given me by the Patients themselves, for 
curing them of Emissions, Seminal weakness, Impo- 
tency, and General Debility, after they had been un- 
der the charge of a number of Physicians, and used 
all of the quack remedies, such as Cordials, Elixirs, 
Antidotes, Drops, Compressions, and Mechanical In- 
struments 344 to 355 

Three Engravings representing Sloughing Chancre, 
Venereal Eruptions after Suppuration, Syphilitic 

Ulcers in the Heart 355 and 356 

Cases, and Certificates of Cures from 356 to 363 

Five beautiful Engravings representing Chancres, Pus- 
tules on the Skin, G-angreenc, Venereal Eruption on 

the Penis, with Buboes .- 363 and 364 

Certiflcates of Cures from 364 to 373 

Three beautiful Engravings representing Syphilitic Ul- 
cers -on the Leg, Primary Syphilis from Inoculation, 

and Tubercular Syphilis 373 and b74 

Certificates of Cures 375 to 37-7 

Advice to Venereal Patients 377 

A Sample of the Ingredients composing the different 

Advertised or Quack Remedies 378 

Means of rescuing the afflicted . .'. 379 

Don't fail to read this advice to the afflicted 380 

Address of the Author; Post Office Box 381 

Unpublished Letters 381 

Treatment of Female Diseases 382 

Consultation Fee ; Certificates 382 

A Virginia Physician . . . v 383 

Letters. A Patient's Advice to read the Medicai, Ad- 
viser and Makkiauk Guidk 384 

Opinions of the Press, Editorially, and many eminent 
Physicians, in favor of my superior abilities. . . .'581 to 390 


§ 8 Ag '25